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General NPI Number Information
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NPI Number | 1447393061
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Entity Type | Individual
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Provider Name | SHARON GAIL BEASLEY M.A., I.M.F.
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 25 W ANAPAMU ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-5148
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Country | US
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Telephone | 805-730-7575
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 HILL RD
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City | SANTA BARBARA
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State | CA
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Zip | 93108-2815
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Country | US
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Telephone | 805-886-9104
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 48489
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License Number State | CA
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