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General NPI Number Information
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NPI Number | 1033364724
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Entity Type | Individual
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Provider Name | MATTHEW CLEM MCGHEE MS, LCPC
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Gender | Male
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Dates
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Enumeration Date | 11/21/2008
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Last Update Date | 08/10/2010
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Provider Practice Location Address
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Address Line | 710 W 8TH ST
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City | FORT SCOTT
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State | KS
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Zip | 66701-2404
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Country | US
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Telephone | 620-223-8590
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Fax |
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Provider Business Mailing Address
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Address Line | 103 W 23RD ST
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City | PITTSBURG
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State | KS
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Zip | 66762-2832
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Country | US
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Telephone | 620-231-1708
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2007025935
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License Number State | MO
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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 | LCPC780
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License Number State | KS
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