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General NPI Number Information
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NPI Number | 1982395521
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Entity Type | Organization
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Legal Business Name | BEVID HEALTH LLC
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 324 N PINE ST STE A
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City | SPARTANBURG
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State | SC
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Zip | 29302-1631
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Country | US
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Telephone | 864-580-7010
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Fax |
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Provider Business Mailing Address
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Address Line | 324 N PINE ST STE A
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City | SPARTANBURG
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State | SC
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Zip | 29302-1631
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Country | US
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Telephone | 718-362-1411
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Fax | 718-362-1651
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Authorized Official
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Title or Position | CEO
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Name | OMAR DANIELS
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Credential |
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Telephone | 718-362-1411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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