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General NPI Number Information
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NPI Number | 1609082494
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Entity Type | Individual
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Provider Name | BEVERLY JEAN BECHTEL MA
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 70 E 91ST ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1561
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Country | US
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Telephone | 317-496-2227
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Fax |
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Provider Business Mailing Address
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Address Line | 10488 BISHOP CIR
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City | CARMEL
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State | IN
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Zip | 46032-8596
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Country | US
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Telephone | 317-496-2227
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35001391A
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License Number State | IN
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