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General NPI Number Information
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NPI Number | 1003066143
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Entity Type | Individual
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Provider Name | JOHN P BEAVERS NP
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Gender | Male
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 1401 JEFFERSON HWY
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City | NEW ORLEANS
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State | LA
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Zip | 70121-2426
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Country | US
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Telephone | 504-842-4747
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Fax |
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Provider Business Mailing Address
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Address Line | 1514 JEFFERSON HWY
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City | NEW ORLEANS
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State | LA
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Zip | 70121-2483
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Country | US
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Telephone | 504-842-3000
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704234332
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4704234332
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License Number State | MI
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