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General NPI Number Information
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NPI Number | 1720248115
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Entity Type | Organization
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Legal Business Name | MCGOWAN COUNSELING SERVICES, P. A.
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 225 N BENNETT ST
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-4810
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Country | US
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Telephone | 910-692-9200
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Fax | 910-215-0589
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Provider Business Mailing Address
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Address Line | 225 N BENNETT ST
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-4810
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Country | US
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Telephone | 910-692-9200
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Fax | 910-215-0589
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BARBARA C. MCGOWAN
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Credential | LSCW
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Telephone | 910-692-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | C004913
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License Number State | NC
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