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General NPI Number Information
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NPI Number | 1225451644
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Entity Type | Individual
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Provider Name | MARILYN D MCLAURINE LPC
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Gender | Female
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Dates
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Enumeration Date | 01/22/2014
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Last Update Date | 09/19/2021
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Provider Practice Location Address
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Address Line | 4425 PLANO PKWY STE 602
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City | CARROLLTON
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State | TX
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Zip | 75010-5030
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Country | US
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Telephone | 402-591-9249
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Fax |
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Provider Business Mailing Address
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Address Line | 4425 PLANO PKWY STE 602
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City | CARROLLTON
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State | TX
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Zip | 75010-5030
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Country | US
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Telephone | 402-591-9249
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | P-1098
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 9659
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 001656
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 81259
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License Number State | TX
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