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General NPI Number Information
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NPI Number | 1235645425
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Entity Type | Individual
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Provider Name | MEGAN STOUTZ ANDERSON MS, RD, CSO, CDN
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Gender | Female
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Dates
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Enumeration Date | 12/25/2017
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 1275 YORK AVE
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone | 347-798-9213
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Fax |
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Provider Business Mailing Address
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Address Line | 800 E 17TH ST APT 1D
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City | BROOKLYN
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State | NY
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Zip | 11230-2400
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Country | US
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Telephone | 585-645-9944
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86071223
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86071223
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License Number State | NY
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