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General NPI Number Information
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NPI Number | 1043995913
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Entity Type | Individual
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Provider Name | MAEGAN BIRR IHP, AADP
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Gender | Female
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 4631 E COLLINWOOD DR
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City | GILBERT
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State | AZ
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Zip | 85298-4013
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Country | US
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Telephone | 425-610-9235
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Fax |
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Provider Business Mailing Address
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Address Line | 2473 S. HIGLEY RD STE 104 PMB 5127
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City | GILBERT
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State | AZ
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Zip | 85295
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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