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General NPI Number Information
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NPI Number | 1003969106
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Entity Type | Individual
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Provider Name | DEBORAH RUTH BEATTY M.S., L.C.P.C.
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2777 FINLEY RD SUITE #1
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1010
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Country | US
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Telephone | 630-342-9941
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Fax | 630-932-7639
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Provider Business Mailing Address
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Address Line | 3018 63RD ST
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City | WOODRIDGE
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State | IL
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Zip | 60517-1351
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Country | US
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Telephone | 630-852-0133
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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 |
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License Number State | IL
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