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General NPI Number Information
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NPI Number | 1255368403
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Entity Type | Individual
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Provider Name | JANICE I MCGOWAN LPC
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Gender | Female
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 407 MAPLE ST
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City | NEOSHO
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State | MO
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Zip | 64850-2318
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Country | US
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Telephone | 417-455-1960
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Fax | 417-455-1960
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Provider Business Mailing Address
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Address Line | PO BOX 545
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City | NEOSHO
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State | MO
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Zip | 64850-0545
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Country | US
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Telephone | 417-455-1960
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Fax | 417-455-1960
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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 | 2001022264
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License Number State | MO
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