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General NPI Number Information
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NPI Number | 1922033455
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Entity Type | Individual
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Provider Name | TAMMARA SAM BEEGHLY PA
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 8930 W SUNSET RD STE 370
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City | LAS VEGAS
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State | NV
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Zip | 89148-5042
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Country | US
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Telephone | 702-248-2228
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Fax | 702-248-2213
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Provider Business Mailing Address
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Address Line | PO BOX 531353
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City | HENDERSON
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State | NV
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Zip | 89053-1353
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Country | US
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Telephone | 702-248-2228
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Fax | 702-248-2213
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA0265
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA829
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License Number State | NV
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