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General NPI Number Information
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NPI Number | 1619754199
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Entity Type | Individual
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Provider Name | CALLIE VICTORIA BEEVERS WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 612 MADISON ST SE
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4401
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Country | US
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Telephone | 256-763-0036
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Fax |
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Provider Business Mailing Address
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Address Line | 3118 ROCKY MEADOWS RD SE
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City | OWENS CROSS ROADS
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State | AL
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Zip | 35763-8799
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Country | US
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Telephone | 256-348-3942
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Fax |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 1-173544
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License Number State | AL
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