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General NPI Number Information
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NPI Number | 1578240511
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Entity Type | Organization
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Legal Business Name | BEAVERTON FAMILY MEDICINE LLC
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 12815 HIGHWAY 278
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City | BEAVERTON
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State | AL
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Zip | 35544-2954
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Country | US
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Telephone | 205-606-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 12815 HIGHWAY 278
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City | BEAVERTON
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State | AL
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Zip | 35544-2954
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MICHAEL ETHAN BUTLER
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Credential |
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Telephone | 256-590-4137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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