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General NPI Number Information
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NPI Number | 1578369799
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Entity Type | Individual
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Provider Name | MEGAN JAE REIS OTR
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Gender | Female
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1001 S KIRKWOOD RD STE 150
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City | SAINT LOUIS
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State | MO
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Zip | 63122-7251
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Country | US
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Telephone | 314-821-7554
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Fax |
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Provider Business Mailing Address
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Address Line | 151 ROCKWOOD PLACE CT
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City | EUREKA
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State | MO
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Zip | 63025-1160
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 202500452
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License Number State | MO
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