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General NPI Number Information
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NPI Number | 1811786742
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Entity Type | Individual
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Provider Name | ALEXIS BEAL MSN, APRN, AGCNS-BC
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Gender | Female
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 1320 MERCY DR NW
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City | CANTON
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State | OH
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Zip | 44708-2614
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Country | US
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Telephone | 330-489-4423
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 MERCY DR NW # MCY5-108
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City | CANTON
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State | OH
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Zip | 44708-2614
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Country | US
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Telephone | 330-844-9576
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | APRN.CNS.0019544
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License Number State | OH
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