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General NPI Number Information
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NPI Number | 1093198137
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Entity Type | Individual
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Provider Name | ISLAH BEYAH MA, CADCII, MAC
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Gender | Female
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 50 SEYMOUR ST UNIT 7
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City | ROSLINDALE
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State | MA
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Zip | 02131-4303
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Country | US
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Telephone | 404-734-8376
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Fax |
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Provider Business Mailing Address
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Address Line | 165 MARION PL NE UNIT 605
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City | ATLANTA
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State | GA
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Zip | 30307-2790
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Country | US
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Telephone | 404-734-8376
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Fax | 770-284-1988
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 314
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License Number State | GA
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