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General NPI Number Information
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NPI Number | 1225083686
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Entity Type | Individual
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Provider Name | MARGARET ANGELIQUE FAHY-RAWLINSON LPC, LPC/S, LMT
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Gender | Female
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 34 HIGHWAY 90 E
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City | LITTLE RIVER
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State | SC
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Zip | 29566-9279
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Country | US
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Telephone | 843-446-6222
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Fax | 843-734-0638
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Provider Business Mailing Address
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Address Line | 800 15TH AVENUE SOUTH PO BOX 5381
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29597
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Country | US
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Telephone | 843-446-6222
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Fax | 843-734-0638
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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 | 4582
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1530
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License Number State | SC
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