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General NPI Number Information
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NPI Number | 1275340622
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Entity Type | Individual
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Provider Name | ADRIANA BEVERLY RN
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Gender | Female
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 2200 3RD AVE
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City | ROCK ISLAND
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State | IL
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Zip | 61201-8840
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Country | US
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Telephone | 309-779-2094
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Fax |
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Provider Business Mailing Address
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Address Line | 2350 HUNTER RD
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City | BETTENDORF
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State | IA
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Zip | 52722-6274
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Country | US
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Telephone | 989-233-4784
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 041529292
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 041529292
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License Number State | IL
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