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General NPI Number Information
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NPI Number | 1982578118
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Entity Type | Organization
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Legal Business Name | BEYAH CARE MANAGEMENT LLC
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 3126 CRESCENT OAKS PARK LN
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City | SPRING
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State | TX
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Zip | 77386
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Country | US
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Telephone | 754-245-2033
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 RESEARCH FOREST DR STE 400
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City | THE WOODLANDS
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State | TX
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Zip | 77382-1482
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Country | US
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Telephone | 754-245-2033
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Fax |
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | MADARE PREVILOR
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Credential | NP
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Telephone | 754-245-2033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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