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General NPI Number Information
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NPI Number | 1598574048
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Entity Type | Individual
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Provider Name | MEGAN KEPPLER
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Gender | Female
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 1447 W MONTROSE AVE
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City | CHICAGO
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State | IL
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Zip | 60613-1348
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Country | US
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Telephone | 773-944-0864
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Fax |
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Provider Business Mailing Address
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Address Line | 3755 N RACINE AVE APT 3A
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City | CHICAGO
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State | IL
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Zip | 60613-4263
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Country | US
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Telephone | 269-930-2467
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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 | 146018123
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License Number State | IL
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