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General NPI Number Information
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NPI Number | 1073151072
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Entity Type | Individual
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Provider Name | CARLY MCGUFFEY M.S., LPC
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Gender | Female
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Dates
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Enumeration Date | 12/20/2019
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Last Update Date | 12/20/2019
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Provider Practice Location Address
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Address Line | 4645 AVON LN STE 100A
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City | FRISCO
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State | TX
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Zip | 75033-1396
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Country | US
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Telephone | 903-468-2750
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Fax |
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Provider Business Mailing Address
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Address Line | 1421 COCKATIEL DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-8567
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Country | US
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Telephone |
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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 | 77266
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License Number State |
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