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General NPI Number Information
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NPI Number | 1548580186
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Entity Type | Individual
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Provider Name | BETH KESSLER SHORT ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/06/2010
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 155 W MAIN ST
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City | BEDFORD
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State | VA
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Zip | 24523-1950
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Country | US
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Telephone | 540-305-3623
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Fax |
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Provider Business Mailing Address
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Address Line | 3812 VIRGINIA BYWAY
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City | BEDFORD
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State | VA
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Zip | 24523-4726
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Country | US
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Telephone | 727-510-4594
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024177052
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 243311
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License Number State | NC
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