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General NPI Number Information
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NPI Number | 1073286332
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Entity Type | Organization
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Legal Business Name | BEIRNE PSYCHIATRIC & WELLNESS LLC
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Dates
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Enumeration Date | 07/31/2021
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Last Update Date | 07/31/2021
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Provider Practice Location Address
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Address Line | 693 ASHLEY LN
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City | SUMMERSVILLE
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State | WV
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Zip | 26651-1045
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Country | US
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Telephone | 304-993-6333
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Fax | 304-688-9020
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Provider Business Mailing Address
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Address Line | 693 ASHLEY LN
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City | SUMMERSVILLE
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State | WV
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Zip | 26651-1045
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Country | US
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Telephone | 304-993-6333
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Fax | 304-688-9020
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Authorized Official
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Title or Position | OWNER
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Name | DEBRA BEIRNE
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Credential | PMHNP-BC
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Telephone | 304-993-6333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number |
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License Number State |
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