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General NPI Number Information
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NPI Number | 1649580473
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Entity Type | Individual
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Provider Name | DENISE RAE BEESON APN
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Gender | Female
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 555 W 6TH ST
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3409
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Country | US
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Telephone | 870-425-8288
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Fax | 870-424-8299
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Provider Business Mailing Address
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Address Line | 555 W 6TH ST
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3409
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Country | US
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Telephone | 870-425-8288
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Fax | 870-425-8299
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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 | A03461
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License Number State | AR
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