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General NPI Number Information
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NPI Number | 1487241089
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Entity Type | Individual
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Provider Name | MARY E. BECHTEL L.C.S.W., L.I.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 89 CASTLE RD
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City | MORETOWN
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State | VT
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Zip | 05660-9498
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Country | US
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Telephone | 269-873-1216
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Fax |
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Provider Business Mailing Address
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Address Line | 89 CASTLE RD
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City | MORETOWN
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State | VT
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Zip | 05660-9498
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Country | US
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Telephone | 269-873-1216
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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 | 6801082959
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 089.0129424
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License Number State | VT
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