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General NPI Number Information
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NPI Number | 1053960740
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Entity Type | Individual
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Provider Name | GIANFRANCO BEAUMONT MA, MFT 3314
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Gender | Male
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 1345 FENCE ROW DR # 1345
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City | FAIRFIELD
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State | CT
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Zip | 06824-7006
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Country | US
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Telephone | 203-873-7058
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Fax |
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Provider Business Mailing Address
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Address Line | 25876 THE OLD RD # 86
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City | STEVENSON RANCH
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State | CA
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Zip | 91381-1711
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Country | US
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Telephone | 818-647-2988
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 3314
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License Number State | CT
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