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General NPI Number Information
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NPI Number | 1295284974
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Entity Type | Individual
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Provider Name | MEGAN BRETT MS, RD, LD
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Gender | Female
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 219 S LEMACKS ST
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City | WALTERBORO
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State | SC
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Zip | 29488-4374
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Country | US
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Telephone | 843-549-1516
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Fax |
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Provider Business Mailing Address
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Address Line | 700 DANIEL ELLIS DR APT 4301
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City | CHARLESTON
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State | SC
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Zip | 29412-3049
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Country | US
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Telephone | 757-477-4367
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1545
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License Number State | SC
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