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General NPI Number Information
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NPI Number | 1932345485
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Entity Type | Individual
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Provider Name | CATHY H. BEATTY CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/05/2009
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 53 MULBERRY ST
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City | FRISCO CITY
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State | AL
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Zip | 36445-4484
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Country | US
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Telephone | 251-267-2880
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Fax | 251-267-2358
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Provider Business Mailing Address
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Address Line | PO BOX 2048
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City | MOBILE
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State | AL
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Zip | 36652-2048
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Country | US
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Telephone | 251-432-4117
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Fax | 251-436-7765
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-065011
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 106501
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1065011
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License Number State | AL
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