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General NPI Number Information
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NPI Number | 1881526952
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Entity Type | Organization
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Legal Business Name | BEYOND BEAUTY PRIMARY CARE & WELLNESS
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 11704 WASHINGTON GREEN RD
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City | LOUISVILLE
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State | KY
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Zip | 40229-5533
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Country | US
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Telephone | 502-544-4047
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Fax | 502-544-4047
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Provider Business Mailing Address
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Address Line | 11704 WASHINGTON GREEN RD
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City | LOUISVILLE
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State | KY
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Zip | 40229-5533
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Country | US
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Telephone | 502-544-4047
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Fax | 502-544-4047
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | STACY MCBRIDE
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Credential | NP
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Telephone | 502-544-4047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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