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Individual
BRUCE BEATTIE
Active
Individual
BRUCE BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP00165
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104847946
THE PROVIDENCE CENTER NPI
RI
01
—
1306094164
UBH
RI
05
—
BB72702
—
RI
Enumeration date
09/05/2008
Last updated
03/27/2009
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