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General NPI Number Information
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NPI Number | 1588286488
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Entity Type | Individual
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Provider Name | SARIAH J BEATTY
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Gender | Female
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Dates
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Enumeration Date | 05/13/2020
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 1818 NEW YORK AVENUE NW
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City | WASHINGTON
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State | DC
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Zip | 20002
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Country | US
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Telephone | 240-300-2735
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Fax |
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Provider Business Mailing Address
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Address Line | 1818 NEW YORK AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20002
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Country | US
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Telephone | 240-300-2735
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAC1-1003
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LGPC00419
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License Number State | DC
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