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General NPI Number Information
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NPI Number | 1336448919
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Entity Type | Individual
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Provider Name | MARGARET GWYNN BSN,M.ED. RN
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Gender | Female
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Dates
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Enumeration Date | 03/22/2011
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Last Update Date | 03/22/2011
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Provider Practice Location Address
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Address Line | 5106 FIDDLERS RD
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City | EMPORIA
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State | VA
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Zip | 23847-7214
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Country | US
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Telephone | 919-417-4928
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Fax | 434-336-1123
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Provider Business Mailing Address
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Address Line | 5106 FIDDLERS RD
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City | EMPORIA
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State | VA
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Zip | 23847-7214
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Country | US
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Telephone | 919-417-4928
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Fax | 434-336-1123
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 055347
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 055347
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License Number State | NC
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