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General NPI Number Information
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NPI Number | 1154753739
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Entity Type | Individual
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Provider Name | BEAU RYAN BEARD D.C., M.S.
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Gender | Male
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 203 NARROWS PKWY STE A
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City | BIRMINGHAM
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State | AL
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Zip | 35242-8649
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Country | US
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Telephone | 205-419-1595
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Fax | 205-724-9130
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Provider Business Mailing Address
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Address Line | 203 NARROWS PKWY STE A
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City | BIRMINGHAM
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State | AL
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Zip | 35242-8649
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Country | US
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Telephone | 205-419-1595
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Fax | 205-724-9130
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 2415
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License Number State | AL
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