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General NPI Number Information
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NPI Number | 1417026550
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Entity Type | Individual
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Provider Name | TRACY L BEECHER APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 4674 40TH AVE S STE A
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City | FARGO
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State | ND
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Zip | 58104-4501
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Country | US
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Telephone | 701-552-5855
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Fax | 866-728-8316
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Provider Business Mailing Address
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Address Line | 4674 40TH AVE S STE A
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City | FARGO
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State | ND
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Zip | 58104-4501
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Country | US
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Telephone | 701-552-5855
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Fax | 866-728-8316
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R28756
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License Number State | ND
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