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General NPI Number Information
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NPI Number | 1396464954
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Entity Type | Individual
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Provider Name | MEGAN ELIZABETH BODDEN DPT
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Gender | Female
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 255 UNION BLVD STE 110
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City | LAKEWOOD
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State | CO
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Zip | 80228-1833
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Country | US
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Telephone | 303-232-0355
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Fax |
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Provider Business Mailing Address
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Address Line | 17884 SW 1ST ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-3917
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Country | US
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Telephone | 954-437-3921
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL.0020513
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License Number State | CO
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