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General NPI Number Information
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NPI Number | 1366716938
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Entity Type | Individual
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Provider Name | BETH B DONOVAN LPCMH
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Gender | Female
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Dates
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Enumeration Date | 02/29/2012
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 1053 COUNTRY CLUB RD
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City | WEST CHESTER
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State | PA
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Zip | 19382-8060
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Country | US
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Telephone | 302-530-9520
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Fax | 610-279-7156
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Provider Business Mailing Address
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Address Line | 410 FOULK RD STE 102
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City | WILMINGTON
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State | DE
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Zip | 19803-3835
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Country | US
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Telephone | 302-530-9520
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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