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NPI 1558643940

NPI 1558643940 : MEAGAN LEE COKE M.S. SLP : NEW ALBANY, IN

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General NPI Number Information
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    NPI Number           |    1558643940
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    Entity Type          |    Individual 
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    Provider Name        |    MEAGAN LEE COKE M.S. SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/13/2011
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    Last Update Date     |    03/20/2015
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Provider Practice Location Address
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    Address Line         |    1850 STATE STREET 
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    City                 |    NEW ALBANY
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    State                |    IN
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    Zip                  |    47150
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    Country              |    US
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    Telephone            |    812-948-6725
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1623 EHRLER DR 
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40213-1003
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    Country              |    US
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    Telephone            |    502-262-8654
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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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