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General NPI Number Information
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NPI Number | 1942446174
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Entity Type | Individual
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Provider Name | ANA BEATRIZ HENRICHS MA, LMHC
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Gender | Female
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Dates
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Enumeration Date | 12/17/2008
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Last Update Date | 09/26/2013
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Provider Practice Location Address
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Address Line | 110 BOSTON ST
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City | SALEM
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State | MA
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Zip | 01970-1402
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Country | US
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Telephone | 978-744-7905
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Fax |
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Provider Business Mailing Address
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Address Line | 18 BUTMAN ST
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City | BEVERLY
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State | MA
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Zip | 01915-4647
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Country | US
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Telephone | 508-904-0944
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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 | 7788
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License Number State | MA
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