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General NPI Number Information
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NPI Number | 1669213211
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Entity Type | Individual
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Provider Name | MEGAN MAHONY LAC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 15110 BOONES FERRY RD STE 350
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-3461
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Country | US
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Telephone | 503-908-3803
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Fax |
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Provider Business Mailing Address
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Address Line | 880 BICKNER ST
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City | LAKE OSWEGO
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State | OR
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Zip | 97034-4814
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Country | US
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Telephone | 503-908-3803
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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