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General NPI Number Information
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NPI Number | 1245748326
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Entity Type | Individual
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Provider Name | MEGEN WATTS
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Gender | Female
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Dates
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Enumeration Date | 01/11/2018
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 149 S ANDOVER RD STE 100
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City | ANDOVER
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State | KS
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Zip | 67002-7935
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Country | US
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Telephone | 316-247-3063
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Fax | 316-247-6833
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Provider Business Mailing Address
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Address Line | 854 FREDRICK DR
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City | EL DORADO
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State | KS
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Zip | 67042-2236
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 06278
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License Number State | KS
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