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General NPI Number Information
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NPI Number | 1396535779
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Entity Type | Individual
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Provider Name | GEORGIA EILEEN BEAM PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 6101 W RENO AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73127-6542
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Country | US
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Telephone | 405-495-3085
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Fax |
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Provider Business Mailing Address
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Address Line | 7128 MCNARNEY AVE UNIT D
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City | TINKER AFB
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State | OK
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Zip | 73145-4708
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Country | US
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Telephone | 405-474-5995
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6651
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License Number State | OK
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