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NPI 1578564589

NPI 1578564589 : MARY BETH BESS APRN : ANAHUAC, TX

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General NPI Number Information
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    NPI Number           |    1578564589
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    Entity Type          |    Individual 
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    Provider Name        |    MARY BETH BESS APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/02/2005
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    Last Update Date     |    01/11/2018
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Provider Practice Location Address
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    Address Line         |    102 AIRPORT RD 
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    City                 |    ANAHUAC
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    State                |    TX
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    Zip                  |    77514
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    Country              |    US
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    Telephone            |    409-267-2730
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    Fax                  |    409-267-3099
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Provider Business Mailing Address
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    Address Line         |    PO BOX 670 
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    City                 |    ANAHUAC
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    State                |    TX
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    Zip                  |    77514-0670
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    Country              |    US
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    Telephone            |    409-267-2730
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    Fax                  |    409-267-3099
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    651493
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    License Number State |    TX
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