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General NPI Number Information
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NPI Number | 1073140331
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Entity Type | Individual
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Provider Name | MEGAN PLATTNER
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Gender | Female
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 03/26/2020
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Provider Practice Location Address
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Address Line | WATERFORD COMMONS 903-915 HARTFORD TPKE STORE 16
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City | WATERFORD
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State | CT
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Zip | 06385
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Country | US
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Telephone | 860-444-0750
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Fax |
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Provider Business Mailing Address
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Address Line | 102 WASHINGTON AVE
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City | EAST HARTFORD
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State | CT
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Zip | 06118-2655
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Country | US
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Telephone | 860-604-6743
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 456
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License Number State | CT
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