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General NPI Number Information
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NPI Number | 1316398027
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Entity Type | Individual
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Provider Name | CHRISTINE BEAGLE AU.D.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2016
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Last Update Date | 01/27/2021
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Provider Practice Location Address
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Address Line | 13934 N 59TH AVE STE 120
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City | GLENDALE
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State | AZ
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Zip | 85306-4168
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Country | US
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Telephone | 480-278-3220
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Fax |
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Provider Business Mailing Address
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Address Line | 6215 E BEVERLY LN
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-1347
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Country | US
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Telephone |
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | DA978
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License Number State | AZ
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