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General NPI Number Information
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NPI Number | 1700108701
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Entity Type | Individual
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Provider Name | ROBERT ANDREW BEYER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/18/2010
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Last Update Date | 02/18/2010
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Provider Practice Location Address
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Address Line | 9 MAIN ST
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City | KINGSTON
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State | NY
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Zip | 12401-3811
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Country | US
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Telephone | 845-255-3314
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Fax | 845-255-3314
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Provider Business Mailing Address
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Address Line | PO BOX 93
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City | GARDINER
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State | NY
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Zip | 12525-0093
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Country | US
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Telephone | 845-255-3314
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Fax | 845-255-3314
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 7716-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 7716-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 7716-1
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License Number State | NY
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