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General NPI Number Information
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NPI Number | 1003104613
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Entity Type | Organization
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Legal Business Name | MONICA MCGOWAN, PLLC
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Dates
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Enumeration Date | 07/17/2011
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Last Update Date | 03/04/2013
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Provider Practice Location Address
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Address Line | 1520 N CAMPBELL ST
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City | EL PASO
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State | TX
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Zip | 79902-4219
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Country | US
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Telephone | 915-545-1520
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 N CAMPBELL ST
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City | EL PASO
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State | TX
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Zip | 79902-4219
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Country | US
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Telephone | 915-545-1520
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Fax |
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Authorized Official
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Title or Position | COUNSELOR/THERAPIST
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Name | MONICA MCGOWAN
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Credential | LMFT, LPC, NCC
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Telephone | 915-545-1520
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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 | 200978
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 62694
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License Number State | TX
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