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General NPI Number Information
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NPI Number | 1477964831
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Entity Type | Organization
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Legal Business Name | MEAGAN M. LITTLEPAGE, M.D., INC.
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Dates
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Enumeration Date | 05/19/2014
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Last Update Date | 05/19/2014
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Provider Practice Location Address
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Address Line | 700 W PARR AVE SUITE A-1
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City | LOS GATOS
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State | CA
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Zip | 95032-1442
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Country | US
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Telephone | 408-681-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 1484 POLLARD RD SUITE #423
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City | LOS GATOS
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State | CA
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Zip | 95032-1031
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Country | US
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Telephone | 408-355-3622
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MEAGAN MARIE LITTLEPAGE
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Credential | M.D.
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Telephone | 408-705-0114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A108647
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License Number State | CA
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