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General NPI Number Information
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NPI Number | 1952498198
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Entity Type | Organization
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Legal Business Name | BEALS INSTITUTE PC
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 03/10/2020
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Provider Practice Location Address
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Address Line | 4333 W ST JOE HWY
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City | LANSING
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State | MI
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Zip | 48917-4100
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Country | US
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Telephone | 517-321-1525
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Fax | 517-321-7059
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Provider Business Mailing Address
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Address Line | 4333 W ST JOE HWY
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City | LANSING
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State | MI
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Zip | 48917-4100
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Country | US
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Telephone | 517-321-1525
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Fax | 517-321-7059
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | CAROL A BEALS
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Credential | MD
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Telephone | 517-321-1525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 038290
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License Number State | MI
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