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General NPI Number Information
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NPI Number | 1023373743
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Entity Type | Individual
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Provider Name | MEGAN FILADELFO OD
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Gender | Female
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Dates
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Enumeration Date | 07/09/2012
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 230 MAPLE ST
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City | HOLYOKE
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State | MA
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Zip | 01040
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Country | US
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Telephone | 413-420-2108
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Fax | 413-533-0472
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Provider Business Mailing Address
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Address Line | 230 MAPLE ST
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City | HOLYOKE
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State | MA
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Zip | 01040
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Country | US
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Telephone | 413-420-2108
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Fax | 413-533-0472
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18003752A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | ODTG00580
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5069
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License Number State | MA
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