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General NPI Number Information
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NPI Number | 1629127857
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Entity Type | Individual
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Provider Name | MEGAN M WALSH LISW
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 01/29/2019
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Provider Practice Location Address
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Address Line | 1407 BOALCH AVE NW
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City | NORTH BEND
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State | WA
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Zip | 98045-7994
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Country | US
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Telephone | 425-888-3347
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Fax | 425-888-3348
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Provider Business Mailing Address
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Address Line | 1407 BOALCH AVE NW
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City | NORTH BEND
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State | WA
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Zip | 98045-7994
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Country | US
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Telephone | 425-888-3347
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Fax | 425-888-3348
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | I-05475
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60860576
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License Number State | WA
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