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General NPI Number Information
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NPI Number | 1588956809
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Entity Type | Individual
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Provider Name | TASHIKA BESWICK REEVES CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 240 MIDDLETOWN BLVD SUITE 205
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City | LANGHORNE
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State | PA
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Zip | 19047-1904
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Country | US
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Telephone | 215-752-2424
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Fax | 215-750-0656
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Provider Business Mailing Address
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Address Line | 240 MIDDLETOWN BLVD 2ND FL STE 205
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City | LANGHORNE
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State | PA
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Zip | 19047-1904
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Country | US
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Telephone | 215-752-2424
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Fax | 215-750-0656
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP011359
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License Number State | PA
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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 | SP011359
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License Number State | PA
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