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General NPI Number Information
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NPI Number | 1992980650
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Entity Type | Individual
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Provider Name | MARK ALAN MACNAMARA LPC
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Gender | Male
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 1223 W MULBERRY ST
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City | SHERMAN
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State | TX
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Zip | 75092-7435
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Country | US
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Telephone | 903-892-2866
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Fax | 903-893-5183
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Provider Business Mailing Address
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Address Line | PO BOX 1943
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City | SHERMAN
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State | TX
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Zip | 75091-1943
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Country | US
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Telephone | 903-892-2866
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Fax | 903-893-5183
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 15278
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2155
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License Number State | OK
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