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General NPI Number Information
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NPI Number | 1003122136
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Entity Type | Individual
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Provider Name | BEVERLY SEYLER M.S.
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Gender | Female
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Dates
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Enumeration Date | 08/26/2010
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Last Update Date | 08/26/2010
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Provider Practice Location Address
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Address Line | 4525 E SAINT ANNE AVE
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City | PHOENIX
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State | AZ
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Zip | 85042-5359
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Country | US
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Telephone | 602-431-6685
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Fax |
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Provider Business Mailing Address
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Address Line | 6055 S ALHAMBRA WAY
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City | GOLD CANYON
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State | AZ
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Zip | 85118-7012
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Country | US
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Telephone | 602-431-6685
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | LPC-0356
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License Number State | AZ
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