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General NPI Number Information
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NPI Number | 1497254957
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Entity Type | Individual
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Provider Name | MEGAN SUE KADDATZ
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Gender | Female
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Dates
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Enumeration Date | 02/09/2018
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 535 SOUTHING GRANGE STE 400
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City | COTTAGE GROVE
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State | WI
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Zip | 53527-9338
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Country | US
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Telephone | 608-819-6394
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Fax |
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Provider Business Mailing Address
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Address Line | 4534 SECRET GARDEN DR
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City | MCFARLAND
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State | WI
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Zip | 53558-8762
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Country | US
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Telephone | 608-212-2306
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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