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General NPI Number Information
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NPI Number | 1437925195
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Entity Type | Individual
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Provider Name | LAUREN CASEY BEATTIE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/04/2023
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 107 PARRIS BRIDGE RD
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City | BOILING SPRINGS
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State | SC
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Zip | 29316-1924
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Country | US
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Telephone | 864-274-3006
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Fax |
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Provider Business Mailing Address
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Address Line | 512 WORLD TOUR DR
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City | INMAN
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State | SC
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Zip | 29349-5926
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Country | US
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Telephone | 864-621-4786
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 28099
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 28099
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License Number State | SC
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