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General NPI Number Information
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NPI Number | 1184893786
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Entity Type | Individual
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Provider Name | LISA GAUGHRAN PH.D., L.M.H.C.
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Gender | Female
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 37 S PLEASANT ST
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City | AMHERST
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State | MA
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Zip | 01002-2238
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Country | US
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Telephone | 413-253-9928
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 117
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City | AMHERST
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State | MA
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Zip | 01004-0117
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Country | US
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Telephone | 413-253-9928
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4426
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License Number State | MA
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