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General NPI Number Information
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NPI Number | 1598940124
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Entity Type | Individual
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Provider Name | BETH BENATTI KENNEDY M.S., CAGS
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Gender | Female
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 35 JAMES ST
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City | BEVERLY
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State | MA
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Zip | 01915-3756
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Country | US
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Telephone | 978-771-7170
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Fax | 978-922-1957
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Provider Business Mailing Address
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Address Line | 35 JAMES ST
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City | BEVERLY
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State | MA
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Zip | 01915-3756
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Country | US
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Telephone | 978-771-7170
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Fax | 978-922-1957
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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 | 1172
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License Number State | MA
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