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General NPI Number Information
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NPI Number | 1801975628
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Entity Type | Individual
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Provider Name | AUSIE JEFFREY BEAMS PT
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Gender | Male
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 04/08/2009
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Provider Practice Location Address
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Address Line | 6551 HIGHWAY 69 S SUITE B
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City | TUSCALOOSA
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State | AL
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Zip | 35405-6578
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Country | US
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Telephone | 205-758-5832
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Fax |
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Provider Business Mailing Address
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Address Line | 241 REVERE RD
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City | TUSCALOOSA
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State | AL
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Zip | 35405-8761
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Country | US
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Telephone | 404-944-3991
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | GA007541
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License Number State | GA
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