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NPI 1689272163

NPI 1689272163 : MEGAN EVANS : LAWRENCEVILLE, NJ

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General NPI Number Information
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    NPI Number           |    1689272163
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN EVANS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/15/2020
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    Last Update Date     |    01/07/2026
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Provider Practice Location Address
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    Address Line         |    168 FRANKLIN CORNER RD UNIT 110 
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    City                 |    LAWRENCEVILLE
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    State                |    NJ
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    Zip                  |    08648-2725
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    Country              |    US
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    Telephone            |    609-299-1279
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9960 ESTERO OAKS DR APT 213 
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    City                 |    FORT MYERS
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    State                |    FL
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    Zip                  |    33967-5311
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    Country              |    US
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    Telephone            |    
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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       |    46TR00949300
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    License Number State |    NJ
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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       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    OT22860
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    OC017284
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    License Number State |    PA
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