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NPI 1104469642

NPI 1104469642 : MEGAN HINER : NAGS HEAD, NC

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General NPI Number Information
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    NPI Number           |    1104469642
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN HINER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/28/2019
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    Last Update Date     |    07/19/2023
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Provider Practice Location Address
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    Address Line         |    2510 S CROATAN HWY STE 1 
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    City                 |    NAGS HEAD
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    State                |    NC
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    Zip                  |    27959-9016
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    Country              |    US
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    Telephone            |    252-772-0188
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    116 PEACHTREE ST 
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    City                 |    JARVISBURG
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    State                |    NC
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    Zip                  |    27947-9505
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    Country              |    US
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    Telephone            |    252-339-0357
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    C013394
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    License Number State |    NC
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