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General NPI Number Information
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NPI Number | 1326061946
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Entity Type | Individual
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Provider Name | MRS. BEVERLEY A POPELAS I
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | RT 30 WEST BEVERLEY'S BEAUTY SOLUTIONS,INC 6559
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City | JEANNETTE
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State | PA
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Zip | 15644
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Country | US
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Telephone | 724-527-1104
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Fax | 724-527-1143
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Provider Business Mailing Address
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Address Line | 6559 RT 30 WEST
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City | JEANNETTE
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State | PA
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Zip | 15644
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Country | US
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Telephone | 724-527-1104
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Fax | 724-527-1143
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 6000006807
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License Number State | PA
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