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General NPI Number Information
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NPI Number | 1609191980
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Entity Type | Individual
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Provider Name | MICHELLE ANN MCCLAIN MS, LPA
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Gender | Female
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 03/30/2010
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Provider Practice Location Address
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Address Line | 326 2ND AVE NW
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City | HICKORY
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State | NC
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Zip | 28601-4944
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Country | US
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Telephone | 828-328-4313
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Fax | 828-328-4820
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Provider Business Mailing Address
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Address Line | 326 2ND AVE NW SOLUTIONS OF HICKORY, PA
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City | HICKORY
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State | NC
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Zip | 28601
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Country | US
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Telephone | 828-328-4313
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Fax | 828-328-4820
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1910
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License Number State | NC
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