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General NPI Number Information
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NPI Number | 1801240577
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Entity Type | Individual
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Provider Name | DOMINQUE VANBEEST MD
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Gender | Female
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Dates
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Enumeration Date | 04/19/2016
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 3600 S LOOP 340
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City | ROBINSON
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State | TX
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Zip | 76706-4828
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Country | US
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Telephone | 254-523-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 2637 N 400 E STE 164
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City | NORTH OGDEN
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State | UT
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Zip | 84414-2240
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Country | US
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Telephone | 214-970-6817
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | U7072
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2081P0004X
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Taxonomy Name | Spinal Cord Injury Medicine Physician
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License Number | MD.MD.61176256
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License Number State | WA
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