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General NPI Number Information
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NPI Number | 1831661255
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Entity Type | Individual
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Provider Name | MICHELE BEAUCHAMP MSN, APRN, AGCNS-BC
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Gender | Female
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Dates
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Enumeration Date | 12/24/2018
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Last Update Date | 12/24/2018
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Provider Practice Location Address
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Address Line | 100 WELLNESS WAY
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City | MILFORD
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State | DE
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Zip | 19963-4364
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Country | US
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Telephone | 302-430-5299
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Fax |
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Provider Business Mailing Address
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Address Line | 705 LINDSAY LN
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City | MILFORD
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State | DE
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Zip | 19963-2130
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Country | US
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Telephone |
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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 | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | LV-0000117
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License Number State | DE
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