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NPI 1336152859

NPI 1336152859 : BETH C FOLEY LMFT : STERLING, MA

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General NPI Number Information
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    NPI Number           |    1336152859
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    Entity Type          |    Individual 
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    Provider Name        |    BETH C FOLEY LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/14/2006
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    Last Update Date     |    06/04/2011
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Provider Practice Location Address
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    Address Line         |    375 REDEMPTION ROCK TRL 
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    City                 |    STERLING
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    State                |    MA
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    Zip                  |    01564-2524
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    Country              |    US
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    Telephone            |    978-422-8132
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    Fax                  |    978-422-8650
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Provider Business Mailing Address
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    Address Line         |    379 REDEMPTION ROCK TRL 
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    City                 |    STERLING
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    State                |    MA
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    Zip                  |    01564-2524
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    Country              |    US
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    Telephone            |    978-422-0559
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    Fax                  |    978-422-0559
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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       |    1209
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    License Number State |    MA
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