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General NPI Number Information
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NPI Number | 1700878279
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Entity Type | Individual
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Provider Name | STEVEN M BEVERLY MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 1333 W 5TH ST STE 210
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City | SHERIDAN
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State | WY
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Zip | 82801-2700
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Country | US
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Telephone | 307-672-2522
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Fax | 307-672-3732
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Provider Business Mailing Address
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Address Line | PO BOX 5546
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City | DENVER
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State | CO
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Zip | 80217-5546
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Country | US
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Telephone | 801-475-3240
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Fax | 801-475-3241
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 37011
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 15121
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License Number State | SD
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Taxonomy #3
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 37011
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 8836143-1205
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License Number State | UT
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 15511C
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License Number State | WY
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