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General NPI Number Information
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NPI Number | 1811861065
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Entity Type | Individual
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Provider Name | BRANDI BEAM
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Gender | Female
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 603 POST OFFICE RD STE 210
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City | WALDORF
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State | MD
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Zip | 20602-1914
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Country | US
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Telephone | 301-705-7593
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Fax | 301-705-8753
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Provider Business Mailing Address
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Address Line | 2861 PORTOBELLO CT
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City | WALDORF
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State | MD
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Zip | 20603-4998
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Country | US
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Telephone | 202-394-5151
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A0767
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License Number State | MD
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