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General NPI Number Information
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NPI Number | 1164913844
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Entity Type | Individual
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Provider Name | KARA BEAUCHEMIN
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Gender | Female
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 30055 NORTHWESTERN HWY STE L-60
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3274
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Country | US
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Telephone | 215-317-3098
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Fax | 833-705-6301
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Provider Business Mailing Address
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Address Line | 7285 HIDDENBROOK LN
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48301-3508
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Country | US
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Telephone | 320-226-1482
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP139478
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License Number State | TX
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