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General NPI Number Information
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NPI Number | 1366261604
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Entity Type | Individual
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Provider Name | MEGAN NICOLE BONECUTTER M.A., LPC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2024
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 2601 COMMONS BLVD STE 110
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City | BEAVERCREEK
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State | OH
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Zip | 45431-3830
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Country | US
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Telephone | 937-294-6004
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Fax |
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Provider Business Mailing Address
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Address Line | 2358 MUNDALE AVE
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City | DAYTON
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State | OH
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Zip | 45420-2529
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Country | US
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Telephone | 937-307-1152
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.2406422
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License Number State | OH
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