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General NPI Number Information
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NPI Number | 1518835677
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Entity Type | Organization
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Legal Business Name | MEG TYO LCSW, PLLC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 24 WEST AVE STE 305
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City | SPENCERPORT
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State | NY
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Zip | 14559-1344
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Country | US
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Telephone | 585-210-9123
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Fax |
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Provider Business Mailing Address
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Address Line | 45 DENISHIRE DR
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City | ROCHESTER
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State | NY
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Zip | 14624-1055
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Country | US
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Telephone | 585-703-2380
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | MEGAN TYO
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Credential | LCSW
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Telephone | 585-703-2380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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