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General NPI Number Information
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NPI Number | 1407890312
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Entity Type | Individual
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Provider Name | MEGAN LORENE STANKOWSKI DPT, LAT
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Gender | Female
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 3901 STEWART AVE
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City | WAUSAU
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State | WI
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Zip | 54401-3948
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Country | US
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Telephone | 715-841-0002
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Fax | 715-841-0003
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Provider Business Mailing Address
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Address Line | 3901 STEWART AVE
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City | WAUSAU
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State | WI
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Zip | 54401-3948
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Country | US
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Telephone | 715-841-0002
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Fax | 715-841-0003
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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 | 11231-24
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 776039
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License Number State | WI
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