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General NPI Number Information
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NPI Number | 1003779083
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Entity Type | Individual
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Provider Name | MEGAN MURRAY
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Gender |
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 220 ROUTE 12 STE 205
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City | GROTON
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State | CT
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Zip | 06340-3414
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Country | US
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Telephone | 877-315-8080
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Fax |
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Provider Business Mailing Address
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Address Line | 20 MARIE ST
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City | PLAINFIELD
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State | CT
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Zip | 06374-2210
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Country | US
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Telephone | 860-415-6423
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | CT
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