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General NPI Number Information
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NPI Number | 1568287472
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Entity Type | Individual
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Provider Name | MEGAN ELIZABETH KEMP DPT
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Gender | Female
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 13609 CALIFORNIA ST
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City | OMAHA
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State | NE
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Zip | 68154-5260
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Country | US
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Telephone | 800-259-9897
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Fax |
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Provider Business Mailing Address
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Address Line | 3527 W TEDFORD DR
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City | PEORIA
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State | IL
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Zip | 61614-1032
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Country | US
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Telephone | 309-657-2163
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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 | 2024030853
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License Number State | MO
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