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General NPI Number Information
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NPI Number | 1417639055
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Entity Type | Organization
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Legal Business Name | BEACON HEALTH, INC
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Dates
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Enumeration Date | 08/03/2023
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 3422 57TH ST
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City | DES MOINES
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State | IA
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Zip | 50310-1223
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Country | US
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Telephone | 678-469-5513
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Fax |
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Provider Business Mailing Address
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Address Line | 5693 ADDISON WOODS PL
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City | SUGAR HILL
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State | GA
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Zip | 30518-6174
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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 | DIRECTOR/OWNER
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Name | MAUDLYN AKARUE
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Credential |
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Telephone | 678-469-5513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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