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General NPI Number Information
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NPI Number | 1225480387
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Entity Type | Individual
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Provider Name | MEGAN BRANNAN PHD
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Gender | Female
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 2425 FOUNTAIN VIEW DR SUITE 270
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City | HOUSTON
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State | TX
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Zip | 77057-4823
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Country | US
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Telephone | 940-231-1533
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Fax |
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Provider Business Mailing Address
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Address Line | 2439 SUNSET BLVD
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City | HOUSTON
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State | TX
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Zip | 77005-1431
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Country | US
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Telephone | 832-245-0588
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 36670
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License Number State | TX
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