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General NPI Number Information
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NPI Number | 1568344265
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Entity Type | Individual
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Provider Name | MEGAN KATHERINE DIDOMENICO MSED
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Gender | Female
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 50 CENTRAL PARK W APT 1D
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City | NEW YORK
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State | NY
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Zip | 10023-6006
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Country | US
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Telephone | 646-930-0457
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Fax |
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Provider Business Mailing Address
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Address Line | 320 E 9TH ST APT 203
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City | NEW YORK
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State | NY
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Zip | 10003-7912
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Country | US
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Telephone | 703-488-8982
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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