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General NPI Number Information
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NPI Number | 1912299686
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Entity Type | Organization
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Legal Business Name | BEAN FAMILY ENTERPRISES
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 12/12/2019
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Provider Practice Location Address
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Address Line | 50 ALBANY RD
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City | WARWICK
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State | RI
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Zip | 02888-2102
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Country | US
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Telephone | 401-781-3936
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Fax | 401-781-3946
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Provider Business Mailing Address
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Address Line | PO BOX 1417
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City | BELTON
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State | TX
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Zip | 76513-5417
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Country | US
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Telephone | 254-939-7171
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Fax | 254-939-2700
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Authorized Official
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Title or Position | VICE PRESIDENT/OWNER
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Name | MRS. LYNDA RHEA BEAN
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Credential | RDH
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Telephone | 254-939-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | WSL00111
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License Number State | RI
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