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General NPI Number Information
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NPI Number | 1003276916
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Entity Type | Individual
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Provider Name | BETH E CHERIN MA, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 03/04/2016
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 12930 JAMES ST
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City | HOLLAND
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State | MI
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Zip | 49424-8324
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Country | US
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Telephone | 248-613-5377
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Fax |
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Provider Business Mailing Address
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Address Line | 18344 WOODLAND RIDGE DR APT 16 APT 16
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City | SPRING LAKE
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State | MI
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Zip | 49456
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Country | US
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Telephone | 719-298-6767
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401005286
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License Number State | MI
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