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General NPI Number Information
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NPI Number | 1366392722
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Entity Type | Individual
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Provider Name | MEGAN HOLLAND
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Gender | Female
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 14198 STATE ROUTE 4
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City | MARYSVILLE
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State | OH
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Zip | 43040-9048
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Country | US
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Telephone | 937-578-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 24995 STATE ROUTE 739
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City | RAYMOND
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State | OH
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Zip | 43067-9748
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Country | US
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Telephone | 614-702-6661
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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 | SP.15780
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License Number State | OH
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