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NPI Code Detail

MEDICARE: WILLIAM PIERCE BEAVER

MEDICARE: WILLIAM PIERCE BEAVER
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
1101YA0400XAddiction (Substance Use Disorder) Counselor130508OH

General Provider Information

NPI Number : 1306398227
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM PIERCE BEAVER
Provider Business Mailing Address
First Line : 9145 GOVERNORS WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45249-2037
Country : US
Telephone Number : 513-845-8655
Fax Number : 513-753-9968
Provider Business Practice Location Address
First Line : 9145 GOVERNORS WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45249-2037
Country : US
Telephone Number : 513-845-8655
Fax Number : 513-753-9968
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2016
Last Update Date : 08/14/2024

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Directions to “ WILLIAM PIERCE BEAVER ” Practice Location

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