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General NPI Number Information
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NPI Number | 1710215298
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Entity Type | Individual
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Provider Name | BETH ALISA BARON SEP, LMT, CMTPT, CPT
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Gender | Female
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Dates
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Enumeration Date | 11/22/2009
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 27 HIGH ST
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City | SHELBURNE FALLS
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State | MA
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Zip | 01370-1205
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Country | US
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Telephone | 413-432-9442
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Fax | 510-473-3736
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Provider Business Mailing Address
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Address Line | 27 HIGH ST
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City | SHELBURNE FALLS
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State | MA
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Zip | 01370-1205
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Country | US
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Telephone | 413-432-9442
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Fax | 510-473-3736
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 17315
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License Number State | MA
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