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General NPI Number Information
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NPI Number | 1841123403
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Entity Type | Individual
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Provider Name | MARGARET ROSE GAVIN
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Gender | Female
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 101 N MAIN ST
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City | MAQUOKETA
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State | IA
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Zip | 52060-2214
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Country | US
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Telephone | 319-224-0722
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Fax | 877-728-2951
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Provider Business Mailing Address
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Address Line | 213 E MAIN ST
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City | ANAMOSA
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State | IA
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Zip | 52205-5701
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Country | US
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Telephone | 319-224-0722
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Fax | 877-728-2951
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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 | 139383
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License Number State | IA
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