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General NPI Number Information
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NPI Number | 1679544027
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Entity Type | Individual
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Provider Name | LORI J MCGOWAN RNCS,MSN
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Gender | Female
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 816 FAIRMOUNT AVE
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City | JAMESTOWN
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State | NY
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Zip | 14701-2519
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Country | US
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Telephone | 716-664-2589
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Fax | 716-483-3050
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Provider Business Mailing Address
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Address Line | 816 FAIRMOUNT AVE
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City | JAMESTOWN
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State | NY
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Zip | 14701-2519
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Country | US
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Telephone | 716-664-2589
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Fax | 716-483-3050
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 467757
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 467757
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License Number State | NY
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