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General NPI Number Information
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NPI Number | 1710714795
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Entity Type | Individual
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Provider Name | MICHAEL MCGILL JR. ED.S., N.C.C
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Gender | Male
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 50 W MONTGOMERY AVE STE 300
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City | ROCKVILLE
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State | MD
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Zip | 20850-4244
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Country | US
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Telephone | 301-896-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 50 W MONTGOMERY AVE STE 300
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City | ROCKVILLE
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State | MD
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Zip | 20850-4244
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 |
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License Number State |
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