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General NPI Number Information
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NPI Number | 1700884830
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Entity Type | Individual
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Provider Name | CHAD A. BEEMAN CFNP
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Gender | Male
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 17609 OLD JEFFERSON HWY
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City | PRAIRIEVILLE
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State | LA
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Zip | 70769-3979
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Country | US
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Telephone | 225-647-8511
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Fax | 225-644-5213
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Provider Business Mailing Address
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Address Line | 17609 OLD JEFFERSON HWY
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City | PRAIRIEVILLE
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State | LA
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Zip | 70769-3979
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Country | US
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Telephone | 225-647-8511
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Fax | 225-644-5213
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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 | AP04076
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License Number State | LA
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