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General NPI Number Information
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NPI Number | 1336668268
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Entity Type | Individual
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Provider Name | MEGAN SNOW MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/12/2017
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Last Update Date | 09/12/2017
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Provider Practice Location Address
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Address Line | 7840 MISSION CENTER CT STE 200
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City | SAN DIEGO
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State | CA
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Zip | 92108-1320
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Country | US
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Telephone | 619-692-0622
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Fax |
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Provider Business Mailing Address
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Address Line | 3257 ARROWGRASS WAY
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City | SAN DIEGO
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State | CA
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Zip | 92115-8235
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Country | US
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Telephone |
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 17875
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License Number State | CA
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