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General NPI Number Information
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NPI Number | 1710553060
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Entity Type | Organization
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Legal Business Name | BE WELL PROFESSIONAL SERVICES LLC
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Dates
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Enumeration Date | 05/27/2021
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 433 N CAMDEN DRIVE 6TH FLOOR
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City | BEVERLY HILLS
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State | CA
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Zip | 90210
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Country | US
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Telephone | 310-387-3761
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Fax |
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Provider Business Mailing Address
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Address Line | 9663 SANTA MONICA BLVD # 508
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4303
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Country | US
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Telephone | 310-387-3761
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Fax |
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Authorized Official
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Title or Position | CEO, LCSW
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Name | ADA PATRICIA SALGADO
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Credential | LCSW
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Telephone | 310-387-3761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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