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General NPI Number Information
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NPI Number | 1609216142
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Entity Type | Individual
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Provider Name | MICHELLE KEGLEY LMHC, LPC
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Gender | Female
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 3200 N FEDERAL HWY STE 206-7
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City | BOCA RATON
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State | FL
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Zip | 33431-6057
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Country | US
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Telephone | 404-496-8849
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Fax | 404-591-7909
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Provider Business Mailing Address
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Address Line | 3200 N FEDERAL HWY STE 206-7
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City | BOCA RATON
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State | FL
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Zip | 33431-6057
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Country | US
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Telephone | 404-496-8849
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Fax | 404-591-7909
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC008859
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH22247
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License Number State | FL
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