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General NPI Number Information
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NPI Number | 1861101883
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Entity Type | Individual
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Provider Name | REBECCA BEINTKER CNA
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Gender | Female
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Dates
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Enumeration Date | 11/17/2022
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 1601 E FOURTH PLAIN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98661-3713
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Country | US
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Telephone | 360-397-8246
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Fax |
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Provider Business Mailing Address
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Address Line | 10316 NE STUTZ RD APT C
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City | VANCOUVER
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State | WA
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Zip | 98685-5560
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Country | US
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Telephone | 360-771-6750
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 60310859
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License Number State | WA
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