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General NPI Number Information
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NPI Number | 1982030599
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Entity Type | Individual
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Provider Name | CARRIE BEALL FNP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2013
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Last Update Date | 02/02/2018
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Provider Practice Location Address
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Address Line | 1660 COLUMBIA RD NW
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City | WASHINGTON
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State | DC
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Zip | 20009-3602
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Country | US
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Telephone | 202-328-3717
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Fax | 202-548-8600
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Provider Business Mailing Address
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Address Line | 1220 12TH ST SE STE 120
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City | WASHINGTON
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State | DC
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Zip | 20003-3733
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Country | US
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Telephone | 202-715-7900
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R100446
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License Number State | MD
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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 | RN58858
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License Number State | DC
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