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General NPI Number Information
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NPI Number | 1396541751
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Entity Type | Individual
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Provider Name | MEGHAN DIGIACOMO LADC
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Gender | Female
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 966 PARK ST STE A2
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City | STOUGHTON
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State | MA
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Zip | 02072-3664
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Country | US
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Telephone | 617-302-6067
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Fax |
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Provider Business Mailing Address
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Address Line | 609 MIDDLE ST APT 72
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City | WEYMOUTH
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State | MA
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Zip | 02189-1131
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Country | US
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Telephone | 857-990-8668
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 23627
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License Number State | MA
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