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NPI 1508372202

NPI 1508372202 : MEGHAN ELIZABETH CLAFLIN : SALEM, MA

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General NPI Number Information
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    NPI Number           |    1508372202
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    Entity Type          |    Individual 
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    Provider Name        |    MEGHAN ELIZABETH CLAFLIN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/18/2017
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    Last Update Date     |    11/11/2021
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Provider Practice Location Address
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    Address Line         |    225 CANAL ST 
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    City                 |    SALEM
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    State                |    MA
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    Zip                  |    01970-4554
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    Country              |    US
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    Telephone            |    978-270-8110
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    49 RAILROAD AVE APT 3 
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    City                 |    BEVERLY
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    State                |    MA
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    Zip                  |    01915-5179
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    Country              |    US
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    Telephone            |    978-270-8110
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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        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    3560
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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