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General NPI Number Information
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NPI Number | 1588992937
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Entity Type | Organization
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Legal Business Name | DANIEL BECK, LICSW, LLC
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Dates
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Enumeration Date | 11/23/2009
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Last Update Date | 12/11/2009
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Provider Practice Location Address
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Address Line | 1330 BEACON ST SUITE 250
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City | BROOKLINE
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State | MA
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Zip | 02446-3282
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Country | US
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Telephone | 617-470-3900
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Fax | 617-739-1796
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Provider Business Mailing Address
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Address Line | 19 PERRY ST
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City | BROOKLINE
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State | MA
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Zip | 02445-6922
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Country | US
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Telephone | 617-470-3900
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Fax | 617-739-1796
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Authorized Official
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Title or Position | OWNER
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Name | MR. DANIEL BECK
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Credential | LICSW
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Telephone | 617-470-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1029465
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License Number State | MA
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