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General NPI Number Information
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NPI Number | 1235728577
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Entity Type | Organization
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Legal Business Name | MEGNAT INC
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 2591 DALLAS PKWY
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City | FRISCO
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State | TX
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Zip | 75034-8542
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Country | US
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Telephone | 214-494-0737
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Fax |
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Provider Business Mailing Address
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Address Line | 2591 DALLAS PKWY
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City | FRISCO
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State | TX
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Zip | 75034-8542
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Country | US
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Telephone | 214-494-0737
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. NATHANIEL A CORRIERI
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Credential |
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Telephone | 407-801-9107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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