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General NPI Number Information
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NPI Number | 1154799187
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Entity Type | Individual
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Provider Name | MEGAN SIEVERS
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Gender | Female
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Dates
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Enumeration Date | 09/08/2015
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 5340 PLAZA AVE SUITE 3
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City | HUDSONVILLE
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State | MI
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Zip | 49426
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Country | US
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Telephone | 616-608-8922
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Fax | 616-355-4285
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Provider Business Mailing Address
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Address Line | 5340 PLAZA AVE SUITE 3
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City | HUDSONVILLE
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State | MI
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Zip | 49426
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Country | US
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Telephone | 616-356-5000
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Fax | 616-356-5001
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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 | 5501017374
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License Number State | MI
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