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General NPI Number Information
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NPI Number | 1063885952
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Entity Type | Individual
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Provider Name | BETH ANN EYLER LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/02/2015
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 101 E 8TH ST STE 260
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City | VANCOUVER
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State | WA
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Zip | 98660-3399
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Country | US
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Telephone | 503-997-8049
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Fax | 360-282-1036
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Provider Business Mailing Address
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Address Line | 101 E 8TH ST STE 260
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City | VANCOUVER
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State | WA
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Zip | 98660-3399
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Country | US
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Telephone | 503-997-8049
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CAAR.CG.60603009
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LW60946522
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License Number State | WA
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