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General NPI Number Information
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NPI Number | 1427618925
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Entity Type | Individual
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Provider Name | MEAGAN OLIVER BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/17/2019
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 611 STATE ST
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City | JENNINGS
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State | LA
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Zip | 70546-5315
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Country | US
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Telephone | 337-246-7546
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Fax | 866-616-5821
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Provider Business Mailing Address
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Address Line | 15489 ATTERBERRY RD
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City | WELSH
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State | LA
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Zip | 70591-6507
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Country | US
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Telephone | 337-329-4152
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | LA
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