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General NPI Number Information
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NPI Number | 1891640900
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Entity Type | Organization
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Legal Business Name | BEAM
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 12900 SHADOW CREEK PKWY APT 5209
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City | PEARLAND
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State | TX
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Zip | 77584-7477
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Country | US
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Telephone | 804-615-9772
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Fax |
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Provider Business Mailing Address
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Address Line | 1814 SHORELINE DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-1678
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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 | CEO
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Name | CHRISTIAN WILSON
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Credential |
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Telephone | 804-615-9772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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