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General NPI Number Information
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NPI Number | 1235889411
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Entity Type | Individual
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Provider Name | PEYTON DAVIS BEAVERS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 529 S JACKSON ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-3229
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Country | US
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Telephone | 502-562-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 800 ROSE ST RM H110
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City | LEXINGTON
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State | KY
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Zip | 40536-0293
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Country | US
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Telephone | 859-323-4756
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Fax | 859-323-0069
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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 | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | 022827
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License Number State | KY
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