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General NPI Number Information
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NPI Number | 1275025504
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Entity Type | Individual
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Provider Name | JAMES C. MCGOOGAN MSPBH,MPC,LCASA,CADC
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Gender | Male
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Dates
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Enumeration Date | 06/01/2018
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Last Update Date | 06/22/2021
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Provider Practice Location Address
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Address Line | 301 MCCULLOUGH DR STE 400
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City | CHARLOTTE
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State | NC
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Zip | 28262-1336
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Country | US
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Telephone | 470-296-3139
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Fax |
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Provider Business Mailing Address
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Address Line | 2958 DEEP COVE DR NW
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City | CONCORD
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State | NC
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Zip | 28027-2522
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Country | US
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Telephone | 910-224-3562
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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