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General NPI Number Information
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NPI Number | 1821293259
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Entity Type | Individual
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Provider Name | PATRICIA L. SPIRK BEAUMONT MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/16/2007
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Last Update Date | 06/05/2015
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Provider Practice Location Address
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Address Line | 705 OLDE HICKORY RD SECOND FLOOR
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City | LANCASTER
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State | PA
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Zip | 17601-4929
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Country | US
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Telephone | 717-560-3768
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Fax | 717-560-6537
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Provider Business Mailing Address
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Address Line | 56 NORTHVIEW DR
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City | LANCASTER
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State | PA
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Zip | 17601-3220
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Country | US
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Telephone | 717-560-9627
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW013196
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License Number State | PA
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