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General NPI Number Information
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NPI Number | 1427447812
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Entity Type | Organization
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Legal Business Name | MCMAHAN COUNSELING
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 01/22/2015
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Provider Practice Location Address
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Address Line | 2200 N RODNEY PARHAM RD 210
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City | LITTLE ROCK
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State | AR
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Zip | 72212-4140
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Country | US
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Telephone | 501-366-0282
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Fax | 501-712-1385
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Provider Business Mailing Address
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Address Line | 14206 CLARBORNE CT
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City | LITTLE ROCK
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State | AR
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Zip | 72211-5589
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Country | US
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Telephone | 501-366-0282
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Fax | 501-712-1385
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Authorized Official
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Title or Position | MANAGER/COUNSELOR
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Name | MR. AHMED A.J. MCMAHAN
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Credential | L.P.C.
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Telephone | 501-366-0282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | P0107024
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License Number State | AR
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