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General NPI Number Information
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NPI Number | 1487647426
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Entity Type | Individual
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Provider Name | CURTIS BEAUVAIS PA
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Gender | Male
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 1600 N MAIN AVE
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City | LOVINGTON
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State | NM
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Zip | 88260-2813
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Country | US
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Telephone | 575-396-6611
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Fax |
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Provider Business Mailing Address
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Address Line | 4220 BAYBROOK PL
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City | MIDLAND
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State | TX
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Zip | 79707-1459
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Country | US
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Telephone | 432-349-0985
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA03268
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA2024-0102
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License Number State | NM
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