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General NPI Number Information
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NPI Number | 1619157757
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Entity Type | Individual
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Provider Name | KAREN DIANE BEATTY CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 02/19/2023
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Provider Practice Location Address
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Address Line | 440 MONTICELLO AVE STE 1844
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City | NORFOLK
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State | VA
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Zip | 23510-2571
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Country | US
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Telephone | 757-773-3456
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Fax | 757-282-5748
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Provider Business Mailing Address
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Address Line | 440 MONTICELLO AVE STE 1844
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City | NORFOLK
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State | VA
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Zip | 23510-2571
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Country | US
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Telephone | 757-773-4567
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Fax | 757-282-5748
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 481265866
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP008922
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024168880
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License Number State | VA
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