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General NPI Number Information
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NPI Number | 1962612556
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Entity Type | Organization
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Legal Business Name | ANNETTE L BECKLUND, MSW, LCSW & ASSOCIATES, LLC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 3455 ROUTE 66
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City | NEPTUNE
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State | NJ
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Zip | 07753-2770
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Country | US
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Telephone | 732-292-2929
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Fax | 732-782-0345
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Provider Business Mailing Address
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Address Line | PO BOX 3870
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City | SPRING HILL
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State | FL
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Zip | 34611
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Country | US
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Telephone | 732-292-2929
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Fax | 732-782-0345
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Authorized Official
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Title or Position | DIRECTOR
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Name | ANNETTE L BECKLUND
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Credential |
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Telephone | 732-292-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05214000
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License Number State | NJ
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