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General NPI Number Information
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NPI Number | 1366976367
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Entity Type | Individual
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Provider Name | MEGHAN SICKINGER
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Gender | Female
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 1044 BOULEVARD
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City | WEST HARTFORD
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State | CT
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Zip | 06119-1801
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Country | US
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Telephone | 860-236-9348
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Fax |
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Provider Business Mailing Address
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Address Line | 6 TRAINOR DR
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City | WEATOGUE
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State | CT
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Zip | 06089-9613
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PCT.0013786
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License Number State | CT
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