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General NPI Number Information
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NPI Number | 1760176176
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Entity Type | Organization
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Legal Business Name | JL MCHUGH INSIGHTS AND DEVELOPMENT LLC
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 228 BILL DOMINICK RD
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City | NEWBERRY
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State | SC
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Zip | 29108-8541
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Country | US
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Telephone | 864-301-1808
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2
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City | NEWBERRY
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State | SC
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Zip | 29108-0002
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Country | US
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Telephone | 864-426-5300
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JILL MCHUGH
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Credential | LISWCP
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Telephone | 864-301-1808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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