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General NPI Number Information
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NPI Number | 1780938969
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Entity Type | Individual
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Provider Name | LAWRENCE RAYMOND BEEK III RN, N.P.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2012
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 1001 MULHOLLAND ST
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City | BAY CITY
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State | MI
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Zip | 48708-7646
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Country | US
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Telephone | 989-391-9900
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Fax | 989-497-1530
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Provider Business Mailing Address
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Address Line | 1001 MULHOLLAND ST
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City | BAY CITY
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State | MI
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Zip | 48708-7646
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Country | US
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Telephone | 989-391-9900
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Fax | 989-497-1530
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 4704276628
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4704276628
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License Number State | MI
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