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General NPI Number Information
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NPI Number | 1164890612
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Entity Type | Individual
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Provider Name | MICHAELA LEIGH MCLAUGHLIN M.A.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2015
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Last Update Date | 09/14/2015
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Provider Practice Location Address
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Address Line | 1730 HERITAGE CIR #94
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City | FORT COLLINS
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State | CO
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Zip | 80526-1740
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Country | US
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Telephone | 651-328-9777
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Fax |
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Provider Business Mailing Address
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Address Line | 1730 HERITAGE CIR #94
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City | FORT COLLINS
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State | CO
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Zip | 80526-1740
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Country | US
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Telephone | 651-328-9777
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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