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General NPI Number Information
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NPI Number | 1487149514
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Entity Type | Individual
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Provider Name | MEGHAN BLAKE MURRAY
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Gender | Female
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Dates
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Enumeration Date | 07/01/2018
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 550 W SAINT CHARLES RD
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City | ELMHURST
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State | IL
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Zip | 60126-3038
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Country | US
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Telephone | 331-263-8083
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Fax |
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Provider Business Mailing Address
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Address Line | 312 N LOMBARD AVE
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City | LOMBARD
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State | IL
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Zip | 60148-2013
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Country | US
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Telephone | 630-263-2672
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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