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General NPI Number Information
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NPI Number | 1215915830
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Entity Type | Individual
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Provider Name | LISA ELLEN BEASLEY CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 555 HARTSVILLE PIKE
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City | GALLATIN
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State | TN
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Zip | 37066-2400
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Country | US
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Telephone | 615-328-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 1033 HARMONY LN
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-1737
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Country | US
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Telephone | 931-561-8956
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Fax | 931-561-8956
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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 | RN123750
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 33785
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License Number State | TN
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