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General NPI Number Information
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NPI Number | 1558114579
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Entity Type | Individual
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Provider Name | KENDA GENE BEEBE FNP
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Gender | Female
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Dates
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Enumeration Date | 04/09/2024
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 7008 SALEM AVE STE 117
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City | LUBBOCK
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State | TX
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Zip | 79424-2226
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Country | US
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Telephone | 800-924-7811
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Fax | 877-349-1868
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Provider Business Mailing Address
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Address Line | 440 N BARRANCA AVE # 1801
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City | COVINA
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State | CA
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Zip | 91723-1722
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Country | US
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Telephone | 800-924-7811
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Fax | 877-349-1868
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1190990
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | C-APN.0103927-C-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 880431
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License Number State | TX
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