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General NPI Number Information
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NPI Number | 1164811535
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Entity Type | Individual
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Provider Name | MEGAN LEWIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 1911 E 23RD ST
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City | KANSAS CITY
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State | MO
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Zip | 64127-3701
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Country | US
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Telephone | 816-531-7737
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Fax | 816-833-8330
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Provider Business Mailing Address
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Address Line | 161 SW 1251ST RD
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City | HOLDEN
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State | MO
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Zip | 64040-9353
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Country | US
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Telephone | 816-797-9517
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Fax | 314-919-4808
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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 | 2015000274
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License Number State | MO
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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 | 2017031324
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License Number State | MO
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