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General NPI Number Information
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NPI Number | 1053890657
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Entity Type | Individual
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Provider Name | MS. BEATRICE ASKEW
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Gender | Female
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 501 MIZE ST
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City | LA FAYETTE
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State | GA
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Zip | 30728-3346
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Country | US
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Telephone | 706-628-5580
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Fax |
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Provider Business Mailing Address
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Address Line | 1 SYLVAN ST NW
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City | ROME
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State | GA
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Zip | 30165-2208
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Country | US
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Telephone | 229-630-8194
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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 | APC006525
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License Number State | GA
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