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General NPI Number Information
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NPI Number | 1881325272
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Entity Type | Organization
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Legal Business Name | BEAUCOUP PHACES LLC
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 06/17/2022
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Provider Practice Location Address
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Address Line | 1400 PRESTON RD STE 400
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City | PLANO
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State | TX
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Zip | 75093-5189
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Country | US
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Telephone | 214-659-2774
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Fax |
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Provider Business Mailing Address
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Address Line | 539 W COMMERCE ST # 897
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City | DALLAS
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State | TX
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Zip | 75208-1953
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Country | US
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Telephone | 214-659-2774
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. TAMEKA FIELDS
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Credential |
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Telephone | 214-659-2774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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