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General NPI Number Information
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NPI Number | 1306327374
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Entity Type | Individual
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Provider Name | SARA A MCGILL
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Gender | Female
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1211 E 6TH ST STE 300
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City | BONHAM
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State | TX
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Zip | 75418-4094
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Country | US
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Telephone | 903-583-6155
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Fax |
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Provider Business Mailing Address
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Address Line | 789 COUNTY ROAD 15300
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City | DEPORT
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State | TX
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Zip | 75435-3014
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Country | US
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Telephone | 430-900-8368
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 114869
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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