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General NPI Number Information
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NPI Number | 1427867845
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Entity Type | Individual
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Provider Name | TERESA JOAN BEASLEY HID
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Gender | Female
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 71 E 2ND ST
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City | WINONA
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State | MN
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Zip | 55987-5375
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Country | US
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Telephone | 507-452-2312
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Fax | 507-292-0842
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Provider Business Mailing Address
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Address Line | 618 HARRIET ST
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City | WINONA
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State | MN
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Zip | 55987-3312
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Country | US
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Telephone | 507-313-0663
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 2955
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License Number State | MN
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