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NPI 1275144784

NPI 1275144784 : ABIGAIL F MCGOHON : SHELBYVILLE, KY

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General NPI Number Information
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    NPI Number           |    1275144784
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    Entity Type          |    Individual 
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    Provider Name        |    ABIGAIL F MCGOHON
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/10/2020
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    Last Update Date     |    05/15/2025
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Provider Practice Location Address
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    Address Line         |    998 BROOKS INDUSTRIAL RD 
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    City                 |    SHELBYVILLE
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    State                |    KY
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    Zip                  |    40065-8154
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    Country              |    US
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    Telephone            |    502-633-1315
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5000 LIBBIE MILL EAST BLVD APT 130 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23230-2159
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    Country              |    US
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    Telephone            |    502-264-2816
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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       |    
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    License Number State |    
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