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General NPI Number Information
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NPI Number | 1184548364
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Entity Type | Organization
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Legal Business Name | BEAUVAIS GROUP HOME INC
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Dates
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Enumeration Date | 08/08/2026
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Last Update Date | 08/08/2026
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Provider Practice Location Address
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Address Line | 9021 TAFT ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-4676
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Country | US
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Telephone | 954-997-5842
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Fax |
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Provider Business Mailing Address
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Address Line | 594 SW 159TH LN
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1152
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Country | US
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Telephone | 954-859-6294
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILDA B BEAUVAIS
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Credential | DO
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Telephone | 954-859-6294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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