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General NPI Number Information
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NPI Number | 1831681535
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Entity Type | Individual
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Provider Name | MEAGAN MICHELLE DANIELS LPC
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Gender | Female
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 6500 QUAKER AVE STE D
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City | LUBBOCK
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State | TX
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Zip | 79413-5138
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Country | US
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Telephone | 806-928-7122
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Fax |
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Provider Business Mailing Address
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Address Line | 450 COUNTY ROAD I
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City | WILSON
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State | TX
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Zip | 79381-2336
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Country | US
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Telephone | 806-928-7122
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 73706
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License Number State | TX
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