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General NPI Number Information
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NPI Number | 1497002992
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Entity Type | Individual
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Provider Name | ZARAUS TYRONE BEARD II M.S.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 1834A JACLIF CT
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4400
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Country | US
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Telephone | 850-878-0475
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Fax |
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Provider Business Mailing Address
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Address Line | 110 COVE LANDING DR
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City | THOMASVILLE
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State | GA
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Zip | 31792-3883
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Country | US
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Telephone | 706-831-7965
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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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