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General NPI Number Information
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NPI Number | 1750012167
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Entity Type | Individual
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Provider Name | MANDI LEA BEVER PHARMD, MBA
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Gender | Female
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 2000 TRANSMOUNTAIN RD STE B
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City | EL PASO
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State | TX
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Zip | 79911-3602
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Country | US
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Telephone | 915-215-8400
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Fax | 915-612-9254
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Provider Business Mailing Address
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Address Line | 2136 S TERRACE DR
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City | WICHITA
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State | KS
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Zip | 67218-5046
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Country | US
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Telephone | 316-251-5441
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 71356
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 1-103797
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 71356
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License Number State | TX
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