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General NPI Number Information
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NPI Number | 1649949207
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Entity Type | Individual
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Provider Name | MEAGHAN BARE
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Gender | Female
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 1020 PATTON ST
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City | FORT COLLINS
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State | CO
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Zip | 80524-4018
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Country | US
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Telephone | 970-484-7981
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Fax |
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Provider Business Mailing Address
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Address Line | 2417 SHEFFIELD CIR E
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City | FORT COLLINS
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State | CO
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Zip | 80526-1633
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Country | US
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Telephone | 208-691-2223
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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 | 0007035
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License Number State | CO
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