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General NPI Number Information
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NPI Number | 1568854131
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Entity Type | Individual
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Provider Name | MEGAN TRENTMAN M.S CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/19/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8778 S MARYLAND PKWY STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89123-6705
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Country | US
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Telephone | 480-324-6237
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Fax |
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Provider Business Mailing Address
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Address Line | 7100 PIRATES COVE RD APT 1112
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City | LAS VEGAS
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State | NV
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Zip | 89145-0605
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Country | US
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Telephone | 480-324-6237
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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 | SP-2009
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License Number State | NV
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