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General NPI Number Information
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NPI Number | 1295150803
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Entity Type | Individual
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Provider Name | MEGAN PETERS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/19/2014
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 345 FIVE FORKS RD
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-6806
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Country | US
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Telephone | 864-412-2772
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Fax |
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Provider Business Mailing Address
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Address Line | 878 LADY FERN DR
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City | WOODRUFF
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State | SC
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Zip | 29388-6804
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Country | US
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Telephone | 219-508-7837
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 7329
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 31005253A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119011130
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License Number State | VA
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