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General NPI Number Information
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NPI Number | 1972869592
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Entity Type | Individual
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Provider Name | KRISTY MICHELLE BEAMON PA
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Gender | Female
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 147 SECTION LINE RD STE G
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6188
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Country | US
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Telephone | 281-429-8522
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Fax | 907-600-2610
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Provider Business Mailing Address
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Address Line | 147 SECTION LINE RD STE G
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6188
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Country | US
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Telephone | 281-429-8522
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Fax | 907-600-2610
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA-478
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License Number State | AR
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