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General NPI Number Information
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NPI Number | 1730062563
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Entity Type | Organization
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Legal Business Name | MAUGHERMAN COUNSELING & TESTING LLC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 2101 S MEADOWVIEW DR
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City | YORKTOWN
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State | IN
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Zip | 47396-1239
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Country | US
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Telephone | 765-228-2302
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 N ALDEN RD
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City | MUNCIE
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State | IN
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Zip | 47304-2963
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Country | US
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Telephone | 765-215-9653
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALAN SCOTT MAUGHERMAN
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Credential |
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Telephone | 765-215-9653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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