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General NPI Number Information
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NPI Number | 1881851988
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Entity Type | Individual
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Provider Name | BETH WRIGHT BRAGG MA, LPC, NCC, ALPS
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Gender | Female
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Dates
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Enumeration Date | 05/18/2008
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Last Update Date | 11/25/2019
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Provider Practice Location Address
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Address Line | 40 SKINNER LN STE 2
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City | ELKINS
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State | WV
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Zip | 26241-1828
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Country | US
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Telephone | 681-298-5027
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Fax | 888-398-9330
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Provider Business Mailing Address
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Address Line | 40 SKINNER LN STE 2
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City | ELKINS
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State | WV
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Zip | 26241-1828
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Country | US
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Telephone | 681-298-5027
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Fax | 888-398-9330
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1327
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License Number State | WV
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