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General NPI Number Information
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NPI Number | 1043835762
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Entity Type | Individual
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Provider Name | MEGAN SOVICH MA, NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 1610 N MAIN STREET EXT
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City | BUTLER
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State | PA
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Zip | 16001-1513
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Country | US
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Telephone | 724-234-1370
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Fax |
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Provider Business Mailing Address
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Address Line | 322 HAZEL ST APT A
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City | ZELIENOPLE
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State | PA
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Zip | 16063-1095
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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