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General NPI Number Information
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NPI Number | 1659355881
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Entity Type | Individual
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Provider Name | DALE WESLEY BEAMAN PHD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 01/03/2018
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Provider Practice Location Address
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Address Line | 250 W 1ST ST SUITE 242
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City | CLAREMONT
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State | CA
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Zip | 91711-4736
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Country | US
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Telephone | 909-621-9023
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Fax | 909-482-2211
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Provider Business Mailing Address
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Address Line | 250 W 1ST ST STE 242
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City | CLAREMONT
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State | CA
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Zip | 91711-4742
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Country | US
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Telephone | 909-621-9023
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Fax | 909-626-2405
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY14704
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License Number State | CA
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