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General NPI Number Information
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NPI Number | 1821093170
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Entity Type | Individual
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Provider Name | WILSON C. BEAMER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 1027 ALTAMONT RD
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City | GREENVILLE
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State | SC
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Zip | 29609-6203
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Country | US
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Telephone | 865-705-3526
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Fax |
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Provider Business Mailing Address
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Address Line | 1027 ALTAMONT RD
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City | GREENVILLE
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State | SC
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Zip | 29609-6203
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Country | US
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Telephone | 865-705-3526
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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 | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 36290
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License Number State | SC
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