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General NPI Number Information
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NPI Number | 1396696670
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Entity Type | Organization
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Legal Business Name | MEGAN KUB PLLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 109 WAVERLY AVE APT 3A
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City | BROOKLYN
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State | NY
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Zip | 11205-2698
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Country | US
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Telephone | 248-238-9856
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Fax |
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Provider Business Mailing Address
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Address Line | 17177 N LAUREL PARK DR STE 131
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City | LIVONIA
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State | MI
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Zip | 48152-3952
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Country | US
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Telephone | 248-238-9856
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEGAN M KUB
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Credential |
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Telephone | 617-316-6776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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