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General NPI Number Information
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NPI Number | 1265843767
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Entity Type | Organization
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Legal Business Name | HOPE MCLAUGHLIN LCSW PA
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Dates
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Enumeration Date | 05/19/2014
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Last Update Date | 05/19/2014
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Provider Practice Location Address
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Address Line | 9550 REGENCY SQUARE BLVD SUITE 216
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City | JACKSONVILLE
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State | FL
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Zip | 32225-8116
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Country | US
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Telephone | 904-493-2105
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Fax | 904-493-2106
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Provider Business Mailing Address
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Address Line | 9550 REGENCY SQUARE BLVD SUITE 216
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City | JACKSONVILLE
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State | FL
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Zip | 32225-8116
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Country | US
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Telephone | 904-493-2105
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Fax | 904-493-2106
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Authorized Official
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Title or Position | LCSW
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Name | MRS. HOPE MCLAUGHLIN
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Credential | LCSW
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Telephone | 904-493-2105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW4433
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License Number State | FL
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