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General NPI Number Information
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NPI Number | 1629559984
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Entity Type | Individual
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Provider Name | MEAGAN CAPPS
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Gender | Female
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Dates
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Enumeration Date | 08/24/2018
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Last Update Date | 08/24/2018
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Provider Practice Location Address
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Address Line | 910 MIDWESTERN PKWY
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City | WICHITA FALLS
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State | TX
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Zip | 76302-2210
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Country | US
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Telephone | 940-235-4028
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Fax |
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Provider Business Mailing Address
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Address Line | 73 EDGEWATER DR
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City | WICHITA FALLS
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State | TX
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Zip | 76308-5504
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Country | US
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Telephone |
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 212617
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License Number State | TX
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