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General NPI Number Information
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NPI Number | 1548392293
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Entity Type | Individual
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Provider Name | MARIE N BEAUVOIR MD
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Gender | Female
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 3811 N US HIGHWAY 75
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City | SHERMAN
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State | TX
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Zip | 75090-2580
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Country | US
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Telephone | 903-487-0477
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Fax |
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Provider Business Mailing Address
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Address Line | 1241 PROSPER COMMONS BLVD STE 108
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City | PROSPER
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State | TX
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Zip | 75078-1419
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Country | US
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Telephone | 847-477-5791
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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 | 33359
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036-112594
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036-112594
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | S1764
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License Number State | TX
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