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General NPI Number Information
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NPI Number | 1609186568
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Entity Type | Individual
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Provider Name | MEGAN DONAHUE
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Gender | Female
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Dates
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Enumeration Date | 10/13/2010
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Last Update Date | 12/21/2019
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Provider Practice Location Address
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Address Line | 270 STORKE RD STE 7
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City | GOLETA
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State | CA
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Zip | 93117-2972
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Country | US
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Telephone | 805-886-8208
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 91140
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City | SANTA BARBARA
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State | CA
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Zip | 93190-1140
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Country | US
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Telephone | 805-886-8208
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY27626
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License Number State | CA
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