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General NPI Number Information
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NPI Number | 1235967332
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Entity Type | Organization
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Legal Business Name | BEYAH CARES FOR YOU
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Dates
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Enumeration Date | 07/22/2024
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 5625 S 42ND ST
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City | PHOENIX
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State | AZ
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Zip | 85040-9029
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Country | US
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Telephone | 602-418-9185
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Fax |
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Provider Business Mailing Address
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Address Line | 5625 S 42ND ST
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City | PHOENIX
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State | AZ
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Zip | 85040-9029
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Country | US
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Telephone | 602-418-9185
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | MONETTE JACKSON
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Credential | REGISTERED NURSE
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Telephone | 602-418-9185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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