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General NPI Number Information
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NPI Number | 1336279637
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Entity Type | Individual
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Provider Name | BEVERLY SCHELAND RIDENS LPC-MHSP, NCC
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8701 TROUTMAN LN
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City | KNOXVILLE
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State | TN
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Zip | 37931-4338
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Country | US
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Telephone | 865-694-0894
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Fax | 865-531-0944
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Provider Business Mailing Address
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Address Line | PO BOX 30575
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City | KNOXVILLE
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State | TN
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Zip | 37930-0575
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Country | US
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Telephone | 865-694-0894
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Fax | 865-531-0944
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC0000000737
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License Number State | TN
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