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General NPI Number Information
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NPI Number | 1720518186
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Entity Type | Individual
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Provider Name | WILLIAM JARVIS BEUERLEIN DO
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Gender | Male
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Dates
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Enumeration Date | 06/18/2017
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 908 W 4TH NORTH ST
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City | MORRISTOWN
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State | TN
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Zip | 37814-3894
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Country | US
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Telephone | 423-492-9000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 415000
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City | NASHVILLE
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State | TN
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Zip | 37241-8352
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Country | US
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Telephone |
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | TP731
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | OS17393
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 5003
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 227750
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 17393
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License Number State | FL
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