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General NPI Number Information
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NPI Number | 1376071928
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Entity Type | Organization
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Legal Business Name | BEVIS FAMILY CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 05/26/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1950 THOMASVILLE RD STE E
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City | TALLAHASSEE
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State | FL
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Zip | 32303-5262
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Country | US
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Telephone | 850-536-6789
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Fax | 850-536-6793
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Provider Business Mailing Address
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Address Line | 1950 THOMASVILLE RD STE E
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City | TALLAHASSEE
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State | FL
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Zip | 32303-5262
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Country | US
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Telephone | 850-536-6789
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Fax | 850-536-6793
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. WILLIAM LEWIS BEVIS
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Credential | DC
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Telephone | 850-536-6789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH11224
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License Number State | FL
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