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General NPI Number Information
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NPI Number | 1215382890
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Entity Type | Organization
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Legal Business Name | SHELLEY EULER-BEAUDET MA LPCC NCC
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 12813 BRYCE CT NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-4807
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Country | US
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Telephone | 505-980-0142
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Fax | 505-275-8476
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Provider Business Mailing Address
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Address Line | 12813 BRYCE CT NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-4807
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Country | US
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Telephone | 505-980-0142
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Fax | 505-275-8476
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Authorized Official
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Title or Position | COUNSELOR
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Name | SHELLEY JO EULER-BEAUDET
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Credential | MA LPCC NCC
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Telephone | 505-980-0142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0434
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License Number State | NM
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