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General NPI Number Information
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NPI Number | 1710756747
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Entity Type | Individual
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Provider Name | JAMI FRANCES BEASLEY NP
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Gender | Female
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 20 PROGRESS POINT PKWY STE 108
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City | O FALLON
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State | MO
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Zip | 63368-2207
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Country | US
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Telephone | 636-344-2400
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Fax | 636-344-2401
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Provider Business Mailing Address
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Address Line | 660 MASON RIDGE CENTER DR STE 300
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8512
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Country | US
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Telephone | 314-448-3791
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AG12230066
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License Number State | MO
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