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General NPI Number Information
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NPI Number | 1366957672
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Entity Type | Individual
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Provider Name | MEGAN K RICH MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 12/08/2017
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Provider Practice Location Address
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Address Line | 3300 CATON FARM RD
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City | JOLIET
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State | IL
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Zip | 60431-1231
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Country | US
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Telephone | 815-436-7000
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Fax | 815-436-1233
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Provider Business Mailing Address
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Address Line | 15149 FREEDOM WAY
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City | PLAINFIELD
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State | IL
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Zip | 60544-1759
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Country | US
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Telephone | 815-685-4472
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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 | 146004672
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License Number State | IL
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