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General NPI Number Information
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NPI Number | 1700992898
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Entity Type | Individual
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Provider Name | JEFFREY L BEVAN DNP, APRN, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 704 VETERANS DRIVE
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City | THE DALLES
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State | OR
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Zip | 97058-9998
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Country | US
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Telephone | 541-296-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 324 ENREDE LN
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City | ST AUGUSTINE
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State | FL
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Zip | 32095-7437
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Country | US
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Telephone | 740-974-3535
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 202202782NP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.08962
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 146814
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9438247
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License Number State | FL
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