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General NPI Number Information
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NPI Number | 1740719624
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Entity Type | Organization
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Legal Business Name | SYLVIE BEAUVAIS LLC
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 1601 WALNUT ST STE 1523
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2910
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Country | US
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Telephone | 267-997-2878
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Fax |
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Provider Business Mailing Address
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Address Line | 950 N 3RD ST UNIT 208
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City | PHILADELPHIA
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State | PA
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Zip | 19123-2263
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Country | US
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Telephone | 267-997-2878
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | SYLVIE BEAUVAIS
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Credential | LCSW
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Telephone | 267-997-2878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW019453
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License Number State | PA
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