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General NPI Number Information
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NPI Number | 1134724099
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Entity Type | Individual
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Provider Name | MEAGAN R BAXTER LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4445 MILLER RD
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City | COLUMBUS
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State | GA
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Zip | 31909-4064
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Country | US
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Telephone | 775-313-3922
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Fax |
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Provider Business Mailing Address
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Address Line | 19707 US HIGHWAY 280 E APT 1915
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City | SMITHS STATION
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State | AL
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Zip | 36877-4063
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Country | US
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Telephone | 775-501-0234
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW008051
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW007610
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License Number State | GA
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