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General NPI Number Information
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NPI Number | 1457625220
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Entity Type | Organization
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Legal Business Name | AMY MCGINNIS BEHAVIORAL CONSULTING, INC.
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Dates
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Enumeration Date | 02/27/2012
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | 41 S GRANGE AVE
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-3346
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Country | US
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Telephone | 215-431-3374
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Fax | 866-950-2732
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Provider Business Mailing Address
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Address Line | PO BOX 26580
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-0580
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Country | US
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Telephone | 215-431-3374
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Fax | 866-950-2732
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMY MCGINNIS
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Credential |
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Telephone | 215-431-3374
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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 | OC010741
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License Number State | PA
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