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General NPI Number Information
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NPI Number | 1003007394
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Entity Type | Individual
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Provider Name | JOSEPH ANDREW BECHARD MSW EDS LLP
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Gender | Male
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/05/2007
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Provider Practice Location Address
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Address Line | 36 WEST 8TH STREET SUITE 250 CENTER FOR PSYCHO EDUCATIONAL SERVICES
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City | HOLLAND
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State | MI
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Zip | 49423
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Country | US
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Telephone | 616-836-9636
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Fax | 616-393-0903
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Provider Business Mailing Address
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Address Line | 36 WEST 8TH STREET SUITE 250
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City | HOLLAND
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State | MI
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Zip | 49423
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Country | US
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Telephone | 616-836-9636
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Fax | 616-393-0903
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LLP 6301009260
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License Number State | MI
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