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General NPI Number Information
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NPI Number | 1205347523
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Entity Type | Individual
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Provider Name | JESUS BEY
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Gender | Male
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Dates
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Enumeration Date | 10/12/2017
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Last Update Date | 10/12/2017
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Provider Practice Location Address
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Address Line | 51 S 29TH ST
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City | CAMDEN
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State | NJ
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Zip | 08105-2248
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Country | US
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Telephone | 856-418-3518
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Fax |
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Provider Business Mailing Address
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Address Line | 51 S 29TH ST
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City | CAMDEN
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State | NJ
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Zip | 08105-2248
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Country | US
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Telephone | 856-418-3518
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number | B29774010005932
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License Number State | NJ
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