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General NPI Number Information
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NPI Number | 1356635833
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Entity Type | Individual
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Provider Name | MEGAN LYNN ROHRBACH M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 115 DUTCH LANE RD
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City | FREEHOLD
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State | NJ
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Zip | 07728-5500
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Country | US
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Telephone | 732-431-7420
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Fax |
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Provider Business Mailing Address
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Address Line | 109 2ND AVE APT J
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City | BRADLEY BEACH
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State | NJ
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Zip | 07720-1178
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Country | US
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Telephone | 732-580-0385
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 41YS00639300
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License Number State | NJ
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