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General NPI Number Information
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NPI Number | 1619958287
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Entity Type | Individual
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Provider Name | PAMELA BEAMER
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Gender | Female
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 621 TENTH STREET HODGE 3
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City | N. TONAWANDA
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State | NY
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Zip | 14302
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Country | US
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Telephone | 716-692-3302
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Fax |
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Provider Business Mailing Address
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Address Line | 908 NIAGARA FALLS BLVD STE. 208
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City | N TONAWANDA
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State | NY
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Zip | 14120-2019
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Country | US
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Telephone | 716-692-3302
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Fax | 716-692-4342
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 002140
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License Number State | NY
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