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General NPI Number Information
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NPI Number | 1306799481
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Entity Type | Individual
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Provider Name | MEGAN JAMANDRE PTA
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Gender | Female
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 588 BROADWAY BLDG SUITE
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City | NEW YORK
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State | NY
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Zip | 10012-3229
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Country | US
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Telephone | 212-941-0503
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Fax |
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Provider Business Mailing Address
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Address Line | 6400 SAUNDERS ST APT 2M
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City | REGO PARK
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State | NY
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Zip | 11374-3122
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Country | US
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Telephone | 917-445-8221
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 015244
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License Number State | NY
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