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General NPI Number Information
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NPI Number | 1033699350
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Entity Type | Organization
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Legal Business Name | MAGILL COUNSELING ASSOCIATES LLC
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Dates
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Enumeration Date | 08/16/2018
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 55 NEW ST STE J5
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City | EPHRATA
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State | PA
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Zip | 17522
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Country | US
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Telephone | 717-219-5711
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Fax | 717-219-5712
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Provider Business Mailing Address
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Address Line | 2135 E INDEPENDENCE ST # 1173
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City | SPRINGFIELD
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State | MO
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Zip | 65804-3749
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Country | US
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Telephone | 717-219-5711
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Fax | 717-219-5712
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | ROBERT MAGILL
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Credential |
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Telephone | 717-219-5711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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