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General NPI Number Information
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NPI Number | 1982602744
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Entity Type | Individual
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Provider Name | LINDA S BEAHM M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4830 RUCKER RD
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City | MONETA
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State | VA
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Zip | 24121-5281
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Country | US
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Telephone | 540-297-7181
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Fax | 540-297-6145
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Provider Business Mailing Address
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Address Line | 4830 RUCKER RD
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City | MONETA
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State | VA
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Zip | 24121-5281
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Country | US
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Telephone | 540-297-7181
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Fax | 540-297-6145
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101039638
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License Number State | VA
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