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General NPI Number Information
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NPI Number | 1235449661
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Entity Type | Organization
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Legal Business Name | BEACON ABA SERVICES, INC.
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Dates
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Enumeration Date | 10/19/2010
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 300 E MAIN ST
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City | MILFORD
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State | MA
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Zip | 01757-2806
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Country | US
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Telephone | 508-473-3422
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Fax | 508-478-0615
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Provider Business Mailing Address
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Address Line | 300 E MAIN ST
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City | MILFORD
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State | MA
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Zip | 01757-2806
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Country | US
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Telephone | 508-473-3422
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Fax | 508-478-0615
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT F. LITTLETON JR.
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Credential | ED, D,
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Telephone | 508-478-0207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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