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General NPI Number Information
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NPI Number | 1922160324
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Entity Type | Individual
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Provider Name | RANDY S BEEKMAN M.F.T.
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Gender | Male
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 11/15/2015
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Provider Practice Location Address
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Address Line | 1515 E TROPICANA AVE SUITE 310
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City | LAS VEGAS
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State | NV
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Zip | 89119-6517
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Country | US
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Telephone | 702-650-0623
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Fax | 702-650-0624
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Provider Business Mailing Address
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Address Line | 5820S PECOS RD 100
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City | LAS VEGAS
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State | NV
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Zip | 89120-5432
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Country | US
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Telephone | 702-339-0346
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0803
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License Number State | NV
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