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General NPI Number Information
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NPI Number | 1457053266
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Entity Type | Individual
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Provider Name | ALIYAH BEASLEY
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Gender | Female
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Dates
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Enumeration Date | 03/17/2023
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 6651 MAIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2351
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Country | US
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Telephone | 832-826-5941
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Fax | 832-826-4286
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Provider Business Mailing Address
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Address Line | 2623 YELLOW PEAR WAY
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City | FRESNO
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State | TX
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Zip | 77545-1440
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Country | US
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Telephone | 832-704-6170
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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 | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 1089352
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License Number State | TX
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