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General NPI Number Information
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NPI Number | 1790253581
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Entity Type | Individual
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Provider Name | STEPHANIE PAGE BEITLICH LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/09/2018
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 45 EAGLE OVERLOOK DR
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City | DAHLONEGA
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State | GA
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Zip | 30533-6665
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Country | US
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Telephone | 706-867-0006
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Fax | 706-864-0060
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Provider Business Mailing Address
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Address Line | 540 OGLETHORPE AVE APT 504
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City | ATHENS
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State | GA
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Zip | 30606-2225
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Country | US
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Telephone | 253-709-6033
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW007639
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License Number State | GA
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