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General NPI Number Information
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NPI Number | 1528188273
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Entity Type | Individual
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Provider Name | BRIAN D. BEUTLER LMSW
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Gender | Male
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 121 N 5TH ST W
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City | RIVERTON
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State | WY
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Zip | 82501-3453
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Country | US
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Telephone | 307-856-9495
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Fax |
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Provider Business Mailing Address
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Address Line | 585 DINWOODY CIR
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City | RIVERTON
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State | WY
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Zip | 82501-2210
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Country | US
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Telephone | 307-709-1776
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LMSW-26872
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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