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General NPI Number Information
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NPI Number | 1407160575
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Entity Type | Individual
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Provider Name | BEATRICE VON GUGGENBERG LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/01/2010
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Last Update Date | 07/28/2024
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Provider Practice Location Address
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Address Line | 7702 E PARHAM RD FL 2
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City | RICHMOND
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State | VA
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Zip | 23294-4371
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Country | US
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Telephone | 804-675-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2906 E FRANKLIN ST
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City | RICHMOND
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State | VA
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Zip | 23223-7922
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Country | US
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Telephone | 540-226-1912
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904007211
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License Number State | VA
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