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General NPI Number Information
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NPI Number | 1043369408
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Entity Type | Individual
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Provider Name | DAWN MARIE BEATTY MA, EDS, PHD
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 09/20/2019
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Provider Practice Location Address
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Address Line | 106 MISSION CT SUITE 904
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City | FRANKLIN
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State | TN
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Zip | 37067-6440
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Country | US
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Telephone | 615-587-5490
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Fax | 615-587-5491
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Provider Business Mailing Address
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Address Line | 106 MISSION CT SUITE 904
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City | FRANKLIN
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State | TN
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Zip | 37067-6440
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Country | US
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Telephone | 615-587-5490
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Fax | 615-778-1837
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0000000683
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P0000003237
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License Number State | TN
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