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General NPI Number Information
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NPI Number | 1366229650
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Entity Type | Individual
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Provider Name | MEGAN COSGRAVE DC
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Gender | Female
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 700 S CLAREMONT ST STE 115
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City | SAN MATEO
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State | CA
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Zip | 94402-1447
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Country | US
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Telephone | 650-347-1247
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1777
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City | EL GRANADA
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State | CA
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Zip | 94018-1777
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Country | US
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Telephone | 650-787-4207
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 35197
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License Number State | CA
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