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General NPI Number Information
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NPI Number | 1497176648
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Entity Type | Individual
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Provider Name | MEGAN HERSH DPT
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Gender | Female
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Dates
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Enumeration Date | 12/13/2013
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Last Update Date | 03/16/2014
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Provider Practice Location Address
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Address Line | 2900 BRISTOL ST STE A201
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City | COSTA MESA
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State | CA
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Zip | 92626-5949
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Country | US
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Telephone | 714-540-6792
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Fax |
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Provider Business Mailing Address
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Address Line | 66 65TH PL
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City | LONG BEACH
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State | CA
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Zip | 90803-5679
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40711
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License Number State | CA
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