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General NPI Number Information
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NPI Number | 1013348978
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Entity Type | Individual
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Provider Name | MEGAN STIEFKEN MT-BC
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Gender | Female
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Dates
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Enumeration Date | 12/03/2013
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 2500 CABOT DR
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City | LISLE
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State | IL
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Zip | 60532-3607
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Country | US
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Telephone | 630-864-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 1586 FAIRWAY DR 102
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City | NAPERVILLE
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State | IL
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Zip | 60563-8723
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Country | US
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Telephone | 970-308-8779
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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