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General NPI Number Information
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NPI Number | 1184535890
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Entity Type | Individual
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Provider Name | BETH ANN KOMAY DNP, APRN, ACCNS-AG
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 700 WEST AVE S
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City | LA CROSSE
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State | WI
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Zip | 54601-4783
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Country | US
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Telephone | 608-392-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 2917 BROOKSHIRE PL
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City | LA CROSSE
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State | WI
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Zip | 54601-7715
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2493568
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 189563-30
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | 672
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | 19129-33
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License Number State | WI
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