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General NPI Number Information
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NPI Number | 1760909766
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Entity Type | Individual
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Provider Name | TRISHA LORRAINE BEYLIN APRN
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Gender | Female
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 2404 N COURTENAY PKWY STE D
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4127
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Country | US
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Telephone | 321-275-6750
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Fax | 888-268-0237
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Provider Business Mailing Address
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Address Line | 1021 NEWFOUND HARBOR DR
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-2759
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Country | US
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Telephone | 321-749-1175
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9248931
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License Number State | FL
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