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General NPI Number Information
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NPI Number | 1144555038
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Entity Type | Organization
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Legal Business Name | BE WELL AND BEYOND,INC.
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Dates
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Enumeration Date | 10/09/2009
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 77 GREAT ROAD SUITE 203
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City | ACTON
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State | MA
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Zip | 01720-6783
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Country | US
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Telephone | 978-263-5771
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Fax | 978-263-5778
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Provider Business Mailing Address
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Address Line | 77 GREAT ROAD SUITE 203
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City | ACTON
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State | MA
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Zip | 01720-6783
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Country | US
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Telephone | 978-263-5771
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Fax | 978-263-5778
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. EFIMIA PAPADOPOULOS
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Credential | LICSW
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Telephone | 978-263-5771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 09064
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 100740
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License Number State | MA
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