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General NPI Number Information
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NPI Number | 1003024746
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Entity Type | Individual
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Provider Name | KERRI BEVIS MD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 2501 VILLAGE PROFESSIONAL DR
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City | OPELIKA
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State | AL
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Zip | 36801-2381
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Country | US
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Telephone | 334-528-1070
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 VILLAGE PROFESSIONAL DR
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City | OPELIKA
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State | AL
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Zip | 36801-2381
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Country | US
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Telephone | 334-528-1070
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Fax |
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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 | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | MD.27770
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License Number State | AL
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