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General NPI Number Information
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NPI Number | 1700490711
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Entity Type | Individual
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Provider Name | JAMES ALLEN BEASLEY
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Gender | Male
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Dates
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Enumeration Date | 09/07/2020
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Last Update Date | 09/07/2020
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Provider Practice Location Address
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Address Line | 200 S BROAD ST STE 205A
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City | NEW ORLEANS
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State | LA
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Zip | 70119-6447
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Country | US
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Telephone | 504-821-7616
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Fax | 504-821-6717
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Provider Business Mailing Address
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Address Line | 220 S LOPEZ ST
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City | NEW ORLEANS
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State | LA
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Zip | 70119-6216
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Country | US
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Telephone | 504-612-4532
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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 |
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License Number State | LA
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