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General NPI Number Information
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NPI Number | 1548049703
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Entity Type | Individual
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Provider Name | MEGHAN BERRY
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Gender | Female
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Dates
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Enumeration Date | 09/27/2023
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 391 COMMON ST
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City | DEDHAM
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State | MA
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Zip | 02026-4055
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Country | US
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Telephone | 877-407-3422
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Fax | 877-407-4329
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Provider Business Mailing Address
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Address Line | 9351 GRANT ST STE 430
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City | THORNTON
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State | CO
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Zip | 80229-4365
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Country | US
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Telephone | 303-280-1211
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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 | PTL26646
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0020557
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License Number State | CO
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