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NPI Code Detail

MEDICARE: ROBYNE BEECHAM

MEDICARE: ROBYNE BEECHAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1063571115
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBYNE BEECHAM
Provider Business Mailing Address
First Line : 6967 RAVENSWOOD RD
Second Line :
City : KIMBALL
State : MI
Zip : 48074-2909
Country : US
Telephone Number : 810-388-1200
Fax Number :
Provider Business Practice Location Address
First Line : 3515 RANGE RD
Second Line :
City : EAST CHINA
State : MI
Zip : 48054-2222
Country : US
Telephone Number : 810-388-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 07/08/2007

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Directions to “ ROBYNE BEECHAM ” Practice Location

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