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General NPI Number Information
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NPI Number | 1871864801
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Entity Type | Individual
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Provider Name | DAWNA EAST-MCCOY LHMC
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Gender | Female
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Dates
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Enumeration Date | 01/23/2012
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 321 S MAIN ST
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City | NEW CASTLE
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State | IN
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Zip | 47362-4218
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Country | US
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Telephone | 765-521-0426
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Fax | 765-529-7269
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Provider Business Mailing Address
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Address Line | 321 SOUTH MAIN STREET
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City | NEW CASTLE
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State | IN
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Zip | 47362
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Country | US
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Telephone | 765-521-0426
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Fax | 765-529-7269
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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 | 39000128A
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License Number State | IN
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