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NPI 1689783367

NPI 1689783367 : RACHEL M BEYER DDS : BATON ROUGE, LA

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General NPI Number Information
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    NPI Number           |    1689783367
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL M BEYER DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/29/2006
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    Last Update Date     |    11/09/2015
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Provider Practice Location Address
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    Address Line         |    6780 FLORIDA BLVD 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70806-4542
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    Country              |    US
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    Telephone            |    225-922-9540
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    Fax                  |    225-926-2889
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Provider Business Mailing Address
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    Address Line         |    6780 FLORIDA BLVD 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70806-4542
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    Country              |    US
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    Telephone            |    225-922-9540
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    Fax                  |    225-926-2889
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    5624
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    License Number State |    LA
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