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General NPI Number Information
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NPI Number | 1316614993
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Entity Type | Individual
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Provider Name | MARY A MCAREE-LEE LPC
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Gender | Female
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 990 S FRONT ST
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City | CENTRAL POINT
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State | OR
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Zip | 97502-2727
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Country | US
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Telephone | 458-226-2364
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Fax |
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Provider Business Mailing Address
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Address Line | 1580 MARY LN
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-5232
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Country | US
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Telephone | 248-752-6674
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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 | C3027
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License Number State | OR
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