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General NPI Number Information
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NPI Number | 1609922871
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Entity Type | Organization
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Legal Business Name | BEATRICE A. SANTELLI, INC.
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 01/06/2009
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Provider Practice Location Address
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Address Line | 5510 MAIN ST
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City | FLOWERY BRANCH
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State | GA
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Zip | 30542-5686
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Country | US
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Telephone | 770-785-2783
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Fax |
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Provider Business Mailing Address
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Address Line | 7342 FIREFLY CT
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City | HOSCHTON
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State | GA
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Zip | 30548-4078
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Country | US
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Telephone | 770-785-2783
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | BEATRICE A SANTELLI
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Credential |
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Telephone | 770-785-2783
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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 | LMFT000924
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License Number State | GA
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