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General NPI Number Information
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NPI Number | 1407516818
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Entity Type | Individual
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Provider Name | MEGAN RENEE BARTLEY OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/27/2021
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 560 N EXPOSITION ST
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City | WICHITA
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State | KS
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Zip | 67203-5902
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Country | US
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Telephone | 316-618-1252
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Fax |
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Provider Business Mailing Address
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Address Line | 7506 E 4TH AVE
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City | HUTCHINSON
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State | KS
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Zip | 67501-9580
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Country | US
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Telephone | 620-474-6728
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 17-03958
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License Number State | KS
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