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General NPI Number Information
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NPI Number | 1992684567
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Entity Type | Individual
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Provider Name | JILL ANN MCGAUGHEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 2113 S 54TH ST STE 5
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City | ROGERS
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State | AR
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Zip | 72758-8169
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Country | US
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Telephone | 479-903-0070
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Fax | 479-974-2025
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Provider Business Mailing Address
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Address Line | 302 HAYDEN BLVD
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City | ROGERS
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State | AR
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Zip | 72756-6904
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Country | US
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Telephone | 479-263-4900
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4906-C
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License Number State | AR
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