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General NPI Number Information
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NPI Number | 1568185817
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Entity Type | Individual
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Provider Name | KAREN BEAM RPH
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Gender | Female
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 400 E STATESVILLE AVE STE 300
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City | MOORESVILLE
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State | NC
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Zip | 28115-2588
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Country | US
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Telephone | 704-663-1992
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Fax |
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Provider Business Mailing Address
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Address Line | 458 OLD MOUNTAIN RD
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City | STATESVILLE
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State | NC
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Zip | 28677-2066
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Country | US
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Telephone | 704-871-7955
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 08724
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License Number State | NC
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