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General NPI Number Information
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NPI Number | 1639023096
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Entity Type | Individual
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Provider Name | MEGAN CAROLINA TARIN
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Gender | Female
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 4810 BARBICAN AVE
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City | WESTON
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State | WI
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Zip | 54476-4186
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Country | US
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Telephone | 715-393-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 123 SAVANNAH CT
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City | GLEN CARBON
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State | IL
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Zip | 62034-4068
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Country | US
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Telephone | 636-284-6996
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2025040922
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License Number State | MO
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