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General NPI Number Information
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NPI Number | 1790045920
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Entity Type | Organization
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Legal Business Name | BESHEARS HEALTH AT HOME, PLLC
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Dates
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Enumeration Date | 05/22/2012
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Last Update Date | 05/22/2012
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Provider Practice Location Address
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Address Line | 141 SUNDANCE DR
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City | VAN ALSTYNE
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State | TX
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Zip | 75495-2648
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Country | US
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Telephone | 214-551-0507
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Fax | 903-367-4254
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Provider Business Mailing Address
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Address Line | 141 SUNDANCE DR
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City | VAN ALSTYNE
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State | TX
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Zip | 75495-2648
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Country | US
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Telephone | 214-551-0507
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Fax | 903-367-4254
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | JULIA KAYE BESHEARS
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Credential | FNP-C
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Telephone | 214-551-0507
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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 | 685065
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License Number State | TX
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