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General NPI Number Information
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NPI Number | 1710061205
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Entity Type | Organization
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Legal Business Name | WILLIAM BEAUMONT ARMY MEDICAL CENTER
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 5005 N PIEDRAS ST
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City | EL PASO
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State | TX
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Zip | 79920-5001
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Country | US
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Telephone | 915-569-2520
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Fax |
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Provider Business Mailing Address
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Address Line | 7096 CENTURY PLANT DRIVE
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City | EL PASO
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State | TX
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Zip | 79912
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Country | US
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Telephone | 915-217-0719
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Fax |
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Authorized Official
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Title or Position | STAFF ANESTHETISTS
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Name | MS. ROSANN MARIE BIERMAN
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Credential | CRNA
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Telephone | 915-569-2520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number | 536309
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License Number State | TX
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