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General NPI Number Information
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NPI Number | 1619839354
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Entity Type | Organization
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Legal Business Name | MEGAN CAMACHO-BALKENBUSH
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | YONEGAHAMA 2-15
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City | YOKOSUKA
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State | KANAGAWA
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Zip | 2380011
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Country | JP
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 473 BOX 1568
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City | FPO
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State | AP
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Zip | 96349-0016
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Country | US
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Telephone | 202-855-4864
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Fax |
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Authorized Official
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Title or Position | OWNER / MANAGING MEMBER
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Name | MEGAN CAMACHO-BALKENBUSH
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Credential | MS, OTR/L
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Telephone | 202-855-4864
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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 |
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License Number State |
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