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General NPI Number Information
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NPI Number | 1811282999
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Entity Type | Individual
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Provider Name | KRISTIN BEECH
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Gender | Female
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 5201 GREAT AMERICA PKWY
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City | SANTA CLARA
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State | CA
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Zip | 95054-1122
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Country | US
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Telephone | 323-205-7088
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Fax |
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Provider Business Mailing Address
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Address Line | 12021 WILMINGTON AVE STE 300
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City | LOS ANGELES
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State | CA
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Zip | 90059-3019
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Country | US
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Telephone | 213-400-4811
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 127710
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License Number State | CA
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