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General NPI Number Information
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NPI Number | 1447692967
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Entity Type | Individual
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Provider Name | MEGAN LEE MELE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/25/2013
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 382 S MAIN ST
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City | CHESHIRE
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State | CT
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Zip | 06410-3115
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Country | US
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Telephone | 203-250-9663
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Fax |
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Provider Business Mailing Address
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Address Line | 545 WEST ST
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City | SOUTHINGTON
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State | CT
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Zip | 06489-2361
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Country | US
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Telephone |
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 3839
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License Number State | CT
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