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General NPI Number Information
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NPI Number | 1326295460
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Entity Type | Individual
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Provider Name | MEGAN COX GONZALEZ DPT
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Gender | Female
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Dates
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Enumeration Date | 08/20/2008
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 1701 LIBRARY BLVD SUITE A
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City | GREENWOOD
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State | IN
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Zip | 46142
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Country | US
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Telephone | 317-881-9923
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Fax | 614-840-9310
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Provider Business Mailing Address
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Address Line | 1701 LIBRARY BLVD SUITE A COLLABORATING FOR KIDS, LLC
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City | GREENWOOD
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State | IN
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Zip | 46142
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Country | US
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Telephone | 614-840-0558
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Fax | 614-840-9310
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT 012145
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License Number State | OH
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