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General NPI Number Information
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NPI Number | 1205422755
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Entity Type | Individual
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Provider Name | JULIE BEEBE
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Gender | Female
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 12/18/2020
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Provider Practice Location Address
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Address Line | 1390 MILLER ST
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City | HONOLULU
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State | HI
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Zip | 96813-2493
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Country | US
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Telephone | 808-586-3230
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Fax |
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Provider Business Mailing Address
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Address Line | 47-136 AHUIMANU RD
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City | KANEOHE
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State | HI
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Zip | 96744-4701
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Country | US
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Telephone | 619-309-9960
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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