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NPI 1104229244

NPI 1104229244 : MEGAN DANAHER PT : BRIGANTINE, NJ

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General NPI Number Information
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    NPI Number           |    1104229244
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN DANAHER PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/03/2014
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    Last Update Date     |    12/13/2018
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Provider Practice Location Address
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    Address Line         |    3103 W BRIGANTINE AVE 
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    City                 |    BRIGANTINE
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    State                |    NJ
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    Zip                  |    08203-1655
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    Country              |    US
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    Telephone            |    609-264-5403
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    Fax                  |    609-800-5486
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Provider Business Mailing Address
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    Address Line         |    3103 W BRIGANTINE AVE 
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    City                 |    BRIGANTINE
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    State                |    NJ
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    Zip                  |    08203-1655
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    Country              |    US
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    Telephone            |    609-264-5403
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    Fax                  |    609-800-5486
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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