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General NPI Number Information
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NPI Number | 1942372412
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Entity Type | Individual
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Provider Name | RENA R BEAL RN, MSN, CFNP
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 500 MADISON AVE STE 200
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City | TOLEDO
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State | OH
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Zip | 43604-1230
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Country | US
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Telephone | 567-312-8700
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Fax | 567-312-8793
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Provider Business Mailing Address
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Address Line | 568 N PARK LN
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City | JACKSON
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State | MS
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Zip | 39206-3815
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Country | US
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Telephone | 601-362-4471
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Fax | 601-982-4351
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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 | R789853
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0037872
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License Number State | OH
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