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General NPI Number Information
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NPI Number | 1275209322
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Entity Type | Individual
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Provider Name | MEGAN ANN HALL MSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 16504 9TH AVE SE STE 106
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City | MILL CREEK
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State | WA
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Zip | 98012-6388
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Country | US
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Telephone | 425-510-0168
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Fax | 425-491-4609
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Provider Business Mailing Address
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Address Line | 16504 9TH AVE SE STE 106
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City | MILL CREEK
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State | WA
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Zip | 98012-6388
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Country | US
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Telephone | 425-510-0168
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Fax | 425-491-4609
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60877135
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License Number State | WA
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