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General NPI Number Information
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NPI Number | 1679839757
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Entity Type | Individual
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Provider Name | MEGHAN NICOLE DAHLIN MA LCPC LPC LAC LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 6485 W INTERCHANGE LN STE 110
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City | BOISE
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State | ID
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Zip | 83709-2102
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Country | US
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Telephone | 208-258-9107
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Fax | 844-662-3118
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Provider Business Mailing Address
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Address Line | 6485 W INTERCHANGE LN STE 110
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City | BOISE
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State | ID
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Zip | 83709-2102
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Country | US
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Telephone | 208-258-9107
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Fax | 844-662-3118
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6015
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10416579-6004
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 14000
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6588
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License Number State | ID
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6401223910
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6015
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6015
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License Number State | CO
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