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General NPI Number Information
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NPI Number | 1285184887
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Entity Type | Organization
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Legal Business Name | MEGHAN SCANLAN LCSW PLLC
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Dates
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Enumeration Date | 10/06/2016
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Last Update Date | 10/06/2016
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Provider Practice Location Address
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Address Line | 6901 S YOSEMITE ST STE 108
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City | CENTENNIAL
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State | CO
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Zip | 80112-1413
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Country | US
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Telephone | 574-229-2357
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Fax |
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Provider Business Mailing Address
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Address Line | 3446 S ASH ST
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City | DENVER
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State | CO
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Zip | 80222-7257
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Country | US
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Telephone | 574-229-2357
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEGHAN SCANLAN HENNING
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Credential | LCSW
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Telephone | 574-229-2357
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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 | 2015
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License Number State | CO
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