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General NPI Number Information
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NPI Number | 1134510597
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Entity Type | Organization
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Legal Business Name | MEGAN B. BARTLEY, MAMFT, LMFT
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Dates
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Enumeration Date | 02/06/2015
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 10200 FOREST GREEN BLVD SUITE 112
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City | LOUISVILLE
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State | KY
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Zip | 40223-5165
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Country | US
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Telephone | 502-213-5940
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Fax |
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Provider Business Mailing Address
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Address Line | 10200 FOREST GREEN BLVD SUITE 112
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City | LOUISVILLE
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State | KY
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Zip | 40223-5165
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Country | US
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Telephone | 502-213-5940
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Fax |
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Authorized Official
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Title or Position | OWNER, DIRECTOR
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Name | MEGAN BAYLES BARTLEY
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Credential | LMFT
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Telephone | 512-507-1518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0886
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License Number State | KY
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