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General NPI Number Information
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NPI Number | 1801129671
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Entity Type | Individual
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Provider Name | KAREN ANN BEETLE LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/11/2009
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Last Update Date | 09/11/2009
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Provider Practice Location Address
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Address Line | 1 PINNACLE PL SUITE 200
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City | ALBANY
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State | NY
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Zip | 12203-3496
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Country | US
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Telephone | 518-424-7516
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Fax |
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Provider Business Mailing Address
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Address Line | 45 S MAIN AVE
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City | ALBANY
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State | NY
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Zip | 12208-2643
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Country | US
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Telephone | 518-435-1710
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Fax | 518-435-1710
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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 | 000384
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License Number State | NY
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