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General NPI Number Information
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NPI Number | 1659796498
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Entity Type | Individual
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Provider Name | JUDITH BEAULIEU RN,MIS,CLC,RYI,CHC
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Gender | Female
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Dates
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Enumeration Date | 03/04/2014
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 299 N BONSALL RD
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City | COATESVILLE
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State | PA
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Zip | 19320-1718
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Country | US
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Telephone | 484-431-1821
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Fax |
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Provider Business Mailing Address
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Address Line | 299 N BONSALL RD SUITE 200
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City | COATESVILLE
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State | PA
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Zip | 19320-1718
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Country | US
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Telephone | 484-431-1821
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | RN226031L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | RN226031L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | RN226031L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number | RN226031L
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License Number State | PA
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