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General NPI Number Information
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NPI Number | 1699641373
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Entity Type | Organization
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Legal Business Name | B. BEAN, D.O.
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Dates
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Enumeration Date | 10/11/2025
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Last Update Date | 10/11/2025
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Provider Practice Location Address
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Address Line | 305 REGENCY PKWY STE 701
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City | MANSFIELD
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State | TX
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Zip | 76063-7307
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Country | US
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Telephone | 682-400-8080
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Fax |
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Provider Business Mailing Address
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Address Line | 305 REGENCY PKWY STE 701
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City | MANSFIELD
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State | TX
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Zip | 76063-7307
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Country | US
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Telephone | 682-400-8080
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. BRALIN JERRELL BEAN
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Credential | D.O.
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Telephone | 682-400-8080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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