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General NPI Number Information
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NPI Number | 1447442363
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Entity Type | Organization
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Legal Business Name | TSB, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 39755 MURRIETA HOT SPRINGS RD D-160
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City | MURRIETA
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State | CA
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Zip | 92563-9101
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Country | US
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Telephone | 951-270-4319
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Fax | 951-834-0389
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Provider Business Mailing Address
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Address Line | 22550 ELBOW CREEK TRL
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City | WILDOMAR
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State | CA
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Zip | 92595-8499
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Country | US
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Telephone | 951-270-4319
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Fax | 951-834-0389
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS STUART BEECHEL
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Credential | M.A., M.F.T.
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Telephone | 951-270-4319
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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 | MFT18191
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License Number State | CA
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