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NPI 1649446261

NPI 1649446261 : MEGAN CLASSEN MS, OTR/L, CLT : LINCOLN, NE

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General NPI Number Information
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    NPI Number           |    1649446261
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN CLASSEN MS, OTR/L, CLT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/03/2008
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    Last Update Date     |    01/05/2022
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Provider Practice Location Address
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    Address Line         |    2436 N 48TH ST STE 101 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68504-3627
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    Country              |    US
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    Telephone            |    402-325-6341
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    Fax                  |    402-488-0056
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Provider Business Mailing Address
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    Address Line         |    PO BOX 34669 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68134-0669
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    Country              |    US
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    Telephone            |    402-932-6791
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    Fax                  |    402-614-7835
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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       |    0688
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    License Number State |    SD
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    1363
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    License Number State |    NE
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