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General NPI Number Information
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NPI Number | 1861286411
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Entity Type | Organization
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Legal Business Name | ANNA E MCCLAUGHERTY
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1823 N CENTER ST STE 203
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City | FLAGSTAFF
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State | AZ
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Zip | 86004-4184
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Country | US
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Telephone | 928-607-2549
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Fax |
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Provider Business Mailing Address
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Address Line | 1823 N CENTER ST STE 203
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City | FLAGSTAFF
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State | AZ
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Zip | 86004-4184
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Country | US
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Telephone | 928-607-2549
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | MARTIN NEARY
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Credential |
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Telephone | 518-244-3737
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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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