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NPI 1679185870

NPI 1679185870 : DR. MEGAN PLUMSTEAD, LLC : SAINT PAUL, MN

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General NPI Number Information
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    NPI Number           |    1679185870
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR. MEGAN PLUMSTEAD, LLC 
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Dates
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    Enumeration Date     |    08/19/2020
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    Last Update Date     |    02/28/2025
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Provider Practice Location Address
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    Address Line         |    1619 DAYTON AVE STE 327 
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55104-6495
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    Country              |    US
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    Telephone            |    248-797-4833
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1619 DAYTON AVE STE 327 
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55104-6495
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    Country              |    US
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    Telephone            |    248-797-4833
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LICENSED PSYCHOLOGIST/OWNER
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    Name                 |    DR. MEGAN HORWITZ PLUMSTEAD 
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    Credential           |    LP
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    Telephone            |    248-797-4833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    
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    License Number State |    
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