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Individual
ABBY E BEALL
Active
Individual
ABBY E BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FACOG
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01056700A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000491866
ANTHEM
IN
05
—
200415390
—
IN
Enumeration date
05/13/2006
Last updated
11/27/2023
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