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General NPI Number Information
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NPI Number | 1518116649
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Entity Type | Individual
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Provider Name | NICOLE MCCAULEY PHD
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Gender | Female
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 3212 E NETTLETON SUITE C
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City | JONESBORO
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State | AR
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Zip | 72401-5451
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Country | US
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Telephone | 785-825-0541
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Fax | 785-825-0062
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Provider Business Mailing Address
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Address Line | 110 W OTIS AVE
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City | SALINA
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State | KS
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Zip | 67401-8713
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Country | US
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Telephone | 979-492-2795
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Fax | 979-232-2135
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2643-C
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License Number State | AR
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