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The Beech River is a 38.3-mile-long (61.6 km) stream draining the east-central portion of West Tennessee in the United States. The Beech rises about 5 miles (8 km) northwest of Lexington, Tennessee. In the same area are the headwaters of two other West Tennessee rivers, the Big Sandy River and the Middle Fork of the Forked Deer River. The Big Sandy, like the Beech, is part of the Tennessee River system, whereas the Forked Deer system drains into the Mississippi River. The Beech River was named for the beech timber along its course.