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General NPI Number Information
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NPI Number | 1467810614
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Entity Type | Individual
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Provider Name | LAUREL JILL MACHEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/03/2016
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 400 N TEXAS AVE STE A
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City | WEBSTER
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State | TX
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Zip | 77598-4961
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Country | US
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Telephone | 281-338-2798
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Fax | 281-557-2027
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Provider Business Mailing Address
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Address Line | 301 UNIVERSITY BOULEVARD
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City | GALVESTON
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State | TX
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Zip | 77555-5302
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Country | US
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Telephone | 409-772-2222
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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 | 54955
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License Number State | TX
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