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General NPI Number Information
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NPI Number | 1598407751
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Entity Type | Individual
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Provider Name | MEGAN ROBERTS MA, R-DMT, G-RMT
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Gender | Female
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 3303 S LINDSAY RD STE 113
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City | GILBERT
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State | AZ
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Zip | 85297-2100
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Country | US
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Telephone | 480-452-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 2912 E ROESER RD APT 1
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City | PHOENIX
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State | AZ
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Zip | 85040-3721
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Country | US
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Telephone | 708-359-9368
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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 | 225600000X
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Taxonomy Name | Dance Therapist
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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