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General NPI Number Information
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NPI Number | 1093259426
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Entity Type | Individual
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Provider Name | CHERYL ANNE BEATRICE P.H.D, L.M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 12/04/2016
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 6547 N ACADEMY BLVD # 1175
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-8342
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Country | US
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Telephone | 805-208-1256
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Fax |
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Provider Business Mailing Address
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Address Line | 6547 N ACADEMY BLVD # 1175
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-8342
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Country | US
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Telephone | 805-208-1256
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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 | LFMT-15899
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 37FI00230600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT99156
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License Number State | CA
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