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General NPI Number Information
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NPI Number | 1215485834
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Entity Type | Individual
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Provider Name | MEGHAN ELIZABETH SHAND
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Gender | Female
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Dates
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Enumeration Date | 09/12/2016
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Last Update Date | 09/12/2016
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Provider Practice Location Address
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Address Line | 18229 DUPONT BLVD
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City | GEORGETOWN
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State | DE
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Zip | 19947-3127
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Country | US
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Telephone | 302-519-1616
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Fax |
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Provider Business Mailing Address
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Address Line | 106 RIVERSIDE TER
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City | CHESTERTOWN
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State | MD
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Zip | 21620-1632
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Country | US
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Telephone | 302-519-1616
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Fax | 302-253-8028
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT-0003597
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License Number State | DE
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