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General NPI Number Information
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NPI Number | 1427944487
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Entity Type | Individual
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Provider Name | KEVIN WESLEY BEEMAN-BROWN MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 101 BODIN CIR
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City | TRAVIS AFB
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State | CA
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Zip | 94535-1809
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Country | US
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Telephone | 775-770-4416
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Fax |
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Provider Business Mailing Address
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Address Line | 101 BODIN CIR
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City | TRAVIS AFB
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State | CA
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Zip | 94535-1809
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Country | US
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Telephone | 707-423-5349
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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