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General NPI Number Information
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NPI Number | 1396534251
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Entity Type | Individual
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Provider Name | MEGHAN ELIZABETH KLICK CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 130 S BRYN MAWR AVE
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City | BRYN MAWR
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State | PA
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Zip | 19010-3121
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Country | US
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Telephone | 484-337-4286
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Fax |
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Provider Business Mailing Address
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Address Line | 1517 ASHTON RD
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City | HAVERTOWN
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State | PA
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Zip | 19083-2906
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Country | US
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Telephone | 484-576-0144
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP031982
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License Number State | PA
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