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General NPI Number Information
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NPI Number | 1952904864
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Entity Type | Individual
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Provider Name | MARGARET M DOUGLASS LPC
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Gender | Female
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Dates
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Enumeration Date | 11/21/2020
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Last Update Date | 11/21/2020
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Provider Practice Location Address
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Address Line | 300 S JEFFERSON ST
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City | KITTANNING
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State | PA
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Zip | 16201-2416
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Country | US
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Telephone | 724-543-2941
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Fax |
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Provider Business Mailing Address
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Address Line | 3007 HARTSWOOD DR
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City | ALLISON PARK
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State | PA
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Zip | 15101-3120
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Country | US
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Telephone | 412-965-8744
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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 | PC012818
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License Number State | PA
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