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General NPI Number Information
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NPI Number | 1609870450
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Entity Type | Individual
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Provider Name | BARNEY B. BEAVER D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | BEAUFORT MEMORIAL HEART SPECIALISTS 300 MIDTOWN DR
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City | BEAUFORT
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State | SC
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Zip | 29906-5200
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Country | US
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Telephone | 843-770-0404
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Fax | 844-295-9872
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Provider Business Mailing Address
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Address Line | 955 RIBAUT RD BMAC CREDENTIALING
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City | BEAUFORT
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State | SC
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Zip | 29902-5441
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Country | US
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Telephone | 843-522-7843
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Fax | 843-522-5678
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 34.003024
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | L2979
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 1637
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License Number State | SC
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