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General NPI Number Information
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NPI Number | 1265998272
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Entity Type | Organization
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Legal Business Name | BEACON VIEW THERAPY, PLLC
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Dates
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Enumeration Date | 02/14/2019
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 9440 VISCOUNT BLVD STE 118
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City | EL PASO
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State | TX
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Zip | 79925-7054
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Country | US
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Telephone | 915-373-1444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 961554
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City | EL PASO
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State | TX
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Zip | 79996-1554
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Country | US
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Telephone | 915-373-1444
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Fax | 915-779-9909
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Authorized Official
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Title or Position | MEMBER OWNER
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Name | ELIZABETH MARISCAL
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Credential | LPC
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Telephone | 915-373-1444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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