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General NPI Number Information
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NPI Number | 1730304643
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Entity Type | Individual
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Provider Name | MAUREEN C BESWICK APNC
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 408 BETHEL RD SUITE E
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2172
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Country | US
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Telephone | 609-926-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 3 EMERALD DR
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City | EGG HARBOR TWP
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State | NJ
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Zip | 08234-5940
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Country | US
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Telephone | 609-653-6596
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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 | 26NJ00037500
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License Number State | NJ
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