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General NPI Number Information
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NPI Number | 1225984693
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Entity Type | Individual
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Provider Name | MEGAN MARIE BEACH
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Gender | Female
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 901 E MAIN ST STE 508
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City | RIVERHEAD
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State | NY
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Zip | 11901-2680
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Country | US
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Telephone | 631-902-6414
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Fax | 888-634-7125
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Provider Business Mailing Address
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Address Line | 1598 FEUEREISEN AVE
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City | BOHEMIA
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State | NY
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Zip | 11716-1528
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Country | US
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Telephone | 516-480-6387
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Fax | 888-634-7125
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 674649
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License Number State | NY
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