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General NPI Number Information
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NPI Number | 1902490634
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Entity Type | Organization
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Legal Business Name | ERIN BEATO MA LLP PC
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Dates
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Enumeration Date | 02/23/2021
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 15450 E JEFFERSON AVE STE 180
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City | GROSSE POINTE PARK
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State | MI
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Zip | 48230-2031
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Country | US
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Telephone | 586-822-8832
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Fax |
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Provider Business Mailing Address
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Address Line | 15450 E JEFFERSON AVE STE 180
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City | GROSSE POINTE PARK
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State | MI
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Zip | 48230-2031
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Country | US
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Telephone | 586-822-8832
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | ERIN BEATO
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Credential |
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Telephone | 586-822-8832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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