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General NPI Number Information
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NPI Number | 1851218796
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Entity Type | Individual
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Provider Name | JOHN T BEEMER CPSW
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Gender | Male
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 4841 TRAMWAY RIDGE DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-2787
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Country | US
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Telephone | 505-388-2361
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Fax | 888-636-7582
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Provider Business Mailing Address
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Address Line | 12021 SKYLINE RD NE APT 2401
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City | ALBUQUERQUE
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State | NM
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Zip | 87123-2885
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Country | US
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Telephone | 505-401-7913
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 2079
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License Number State | NM
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