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General NPI Number Information
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NPI Number | 1952584401
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Entity Type | Individual
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Provider Name | ANGEL BEATO MSW
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Gender | Male
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 995 MARKET ST FL. 5
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-1702
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Country | US
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Telephone | 415-644-0507
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Fax |
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Provider Business Mailing Address
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Address Line | 3017 DAVIS STREET
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City | OAKLAND
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State | CA
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Zip | 94601
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Country | US
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Telephone | 415-516-1935
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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 | ASW 20155
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW 25791
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License Number State | CA
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