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General NPI Number Information
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NPI Number | 1265633424
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Entity Type | Individual
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Provider Name | JENNIFER RAE BEIL M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 2817 ROCK MERRITT AVE
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City | FORT BRAGG
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State | NC
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Zip | 28310-1152
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Country | US
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Telephone | 910-907-8922
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Fax | 910-907-6069
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Provider Business Mailing Address
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Address Line | 2817 ROCK MERRITT AVE
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City | FORT BRAGG
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State | NC
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Zip | 28310-0001
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Country | US
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Telephone | 910-907-8922
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Fax | 864-797-6198
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 36645
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD204838
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 74438
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License Number State | GA
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