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General NPI Number Information
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NPI Number | 1861272262
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Entity Type | Individual
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Provider Name | KELLY SHARLEEN MCGEE CRM, CADC-R
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Gender | Female
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Dates
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Enumeration Date | 10/03/2023
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 300 W MAIN ST
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City | MEDFORD
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State | OR
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Zip | 97501-2756
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Country | US
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Telephone | 541-772-1777
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Fax |
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Provider Business Mailing Address
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Address Line | 4999 ROGUE RIVER HWY
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City | GOLD HILL
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State | OR
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Zip | 97525-6776
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Country | US
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Telephone | 458-229-8264
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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 | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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