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NPI 1386303683

NPI 1386303683 : MEGAN ELIZABETH KREBS LMSW : BATAVIA, NY

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General NPI Number Information
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    NPI Number           |    1386303683
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN ELIZABETH KREBS LMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/14/2021
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    Last Update Date     |    12/14/2021
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Provider Practice Location Address
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    Address Line         |    319 W MAIN ST 
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    City                 |    BATAVIA
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    State                |    NY
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    Zip                  |    14020-1347
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    Country              |    US
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    Telephone            |    585-599-6446
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    62 N SHORE DR 
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    City                 |    ALDEN
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    State                |    NY
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    Zip                  |    14004-9204
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    Country              |    US
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    Telephone            |    716-949-1270
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    114750
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    License Number State |    NY
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