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General NPI Number Information
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NPI Number | 1548408180
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Entity Type | Organization
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Legal Business Name | BE HEALTH
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 410 RIDGE ST
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City | MACON
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State | MS
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Zip | 39341-2618
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Country | US
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Telephone | 662-361-1315
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Fax |
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Provider Business Mailing Address
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Address Line | 410 RIDGE ST
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City | MACON
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State | MS
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Zip | 39341-2618
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Country | US
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Telephone | 662-361-1315
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Fax |
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Authorized Official
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Title or Position | CERTIFIED FAMILY NURSE PRACTITIONER
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Name | MRS. ROSIE ANN BINION
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Credential | CFNP
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Telephone | 662-361-1315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | R740067
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | R683205
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License Number State | MS
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