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General NPI Number Information
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NPI Number | 1578543872
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Entity Type | Individual
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Provider Name | BEVERLY J METZE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 188 STATE ROAD 129 S
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City | BATESVILLE
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State | IN
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Zip | 47006-7628
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Country | US
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Telephone | 812-934-6400
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Fax | 812-934-6330
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Provider Business Mailing Address
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Address Line | PO BOX 236
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City | BATESVILLE
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State | IN
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Zip | 47006-0236
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Country | US
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Telephone | 812-932-3371
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Fax | 812-932-3506
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71000785A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71000785A
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License Number State | IN
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