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General NPI Number Information
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NPI Number | 1922706795
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Entity Type | Individual
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Provider Name | BARBARA JEAN BEAL CACII
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Gender | Female
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 2112 F ST NW
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City | WASHINGTON
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State | DC
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Zip | 20037-2715
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Country | US
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Telephone | 202-296-4455
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Fax | 202-822-9130
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Provider Business Mailing Address
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Address Line | 4510 REAMY DR
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City | SUITLAND
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State | MD
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Zip | 20746-3746
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Country | US
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Telephone | 202-460-2780
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAC1037
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CACII1037
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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