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General NPI Number Information
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NPI Number | 1275056384
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Entity Type | Individual
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Provider Name | IDA R. MACDONALD LPC-S
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Gender | Female
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 07/20/2017
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Provider Practice Location Address
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Address Line | 1504 LEANDER RD
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City | GEORGETOWN
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State | TX
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Zip | 78628-8801
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Country | US
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Telephone | 512-713-7552
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Fax |
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Provider Business Mailing Address
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Address Line | 510 DIXON CREEK LN
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City | GEORGETOWN
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State | TX
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Zip | 78633-4119
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 13159
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License Number State | TX
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