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General NPI Number Information
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NPI Number | 1245567726
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Entity Type | Individual
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Provider Name | MICHAEL L MCGOWAN III PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 11/04/2009
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 15333 N PIMA RD STE 305
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2717
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Country | US
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Telephone | 480-225-3236
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Fax | 623-999-9272
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Provider Business Mailing Address
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Address Line | PO BOX 17030
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85269-7030
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Country | US
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Telephone | 480-225-3236
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Fax | 623-999-9272
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4065
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License Number State | AZ
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