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General NPI Number Information
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NPI Number | 1568105153
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Entity Type | Individual
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Provider Name | JEFFREY BEIROW LMFT
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Gender | Male
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 235 W WESTERN AVE
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City | AVONDALE
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State | AZ
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Zip | 85323-1848
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Country | US
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Telephone | 602-230-7373
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 SILVER LAKE RD NW STE 110
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City | NEW BRIGHTON
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State | MN
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Zip | 55112-1789
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Country | US
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Telephone | 651-464-6671
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Fax | 651-628-0411
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT-16034
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2367
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License Number State | WI
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