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General NPI Number Information
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NPI Number | 1972805968
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Entity Type | Organization
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Legal Business Name | BEVERLY COUNSELING ASSOCIATES
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 41197 GOLDEN GATE CIR SUITE 201
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City | MURRIETA
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State | CA
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Zip | 92562-6997
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Country | US
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Telephone | 951-461-0777
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Fax | 951-461-0778
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Provider Business Mailing Address
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Address Line | 41197 GOLDEN GATE CIR SUITE 201
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City | MURRIETA
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State | CA
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Zip | 92562-6997
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Country | US
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Telephone | 951-461-0777
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Fax | 951-461-0778
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Authorized Official
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Title or Position | MFT/OWNER
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Name | BEVERLY JANE RATTRAY
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Credential | MFT
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Telephone | 951-461-0777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC39317
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License Number State |
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