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General NPI Number Information
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NPI Number | 1508112269
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Entity Type | Individual
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Provider Name | BARBARA JEAN BEELER PH.D
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Gender | Female
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 07/31/2012
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Provider Practice Location Address
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Address Line | 8955 FAYETTEVILLE RD
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City | JONESBORO
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State | GA
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Zip | 30238-4815
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Country | US
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Telephone | 770-961-3799
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Fax | 404-592-5507
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Provider Business Mailing Address
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Address Line | 8955 FAYETTEVILLE RD
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City | JONESBORO
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State | GA
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Zip | 30238-4815
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Country | US
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Telephone | 770-961-3799
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Fax | 404-592-5507
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 05031348
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | BE75208
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License Number State | FL
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