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General NPI Number Information
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NPI Number | 1972516300
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Entity Type | Individual
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Provider Name | BETH STINSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1155 LISBON ST
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City | LEWISTON
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State | ME
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Zip | 04240-5025
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Country | US
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Telephone | 207-787-1155
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Fax | 207-284-5551
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Provider Business Mailing Address
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Address Line | 26 EIDER LN
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City | TOPSHAM
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State | ME
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Zip | 04086-1504
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Country | US
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Telephone | 207-729-4773
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Fax | 207-284-5551
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC6717
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License Number State | ME
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