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General NPI Number Information
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NPI Number | 1710439013
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Entity Type | Individual
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Provider Name | REBECCA ELAINE BEAVER LPC, AADC
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Gender | Female
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Dates
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Enumeration Date | 11/03/2016
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Last Update Date | 11/03/2016
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Provider Practice Location Address
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Address Line | 5 LOWER COACH RD
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City | HURRICANE
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State | WV
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Zip | 25526-8601
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Country | US
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Telephone | 304-562-2418
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Fax | 304-526-2638
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Provider Business Mailing Address
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Address Line | 5 LOWER COACH RD
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City | HURRICANE
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State | WV
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Zip | 25526-8601
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Country | US
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Telephone | 304-562-2418
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Fax | 304-526-2638
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2223
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License Number State | WV
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