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General NPI Number Information
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NPI Number | 1891683090
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Entity Type | Individual
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Provider Name | BEAU M BIGGS DDS
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Gender | Male
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 1400 E MAIN ST
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City | CASEY
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State | IL
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Zip | 62420-2106
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Country | US
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Telephone | 217-932-5266
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Fax |
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Provider Business Mailing Address
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Address Line | 2356 E HILLCREST RD
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City | CASEY
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State | IL
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Zip | 62420-3204
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Country | US
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Telephone | 217-994-1429
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019.036103
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License Number State | IL
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