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General NPI Number Information
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NPI Number | 1255886867
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Entity Type | Individual
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Provider Name | BEVERLY A CLEMONS SNOWDEN LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/24/2016
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 300 PULLMAN ST BLDG B
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City | LIVERMORE
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State | CA
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Zip | 94551-9756
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Country | US
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Telephone | 510-618-5990
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Fax | 925-294-7202
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Provider Business Mailing Address
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Address Line | 34535 CRENSHAW ST
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City | BEAUMONT
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State | CA
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Zip | 92223-7449
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Country | US
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Telephone | 909-578-2264
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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 |
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License Number State |
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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 | 108013
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License Number State | CA
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