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General NPI Number Information
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NPI Number | 1386120343
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Entity Type | Individual
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Provider Name | DERENDA MARIE BEASLEY APN
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Gender | Female
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Dates
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Enumeration Date | 07/12/2018
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 1391 SPEER BLVD STE 360
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City | DENVER
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State | CO
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Zip | 80204-2632
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Country | US
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Telephone | 303-720-1845
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Fax |
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Provider Business Mailing Address
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Address Line | 241 ANTHONY LN
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City | NEWTON
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State | AL
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Zip | 36352-8418
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Country | US
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Telephone | 334-648-8779
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-116363
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209018576
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-RXN.0000972-C-NP
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 161408
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License Number State | MT
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-APN.0002135-C-NP
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License Number State | CO
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