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General NPI Number Information
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NPI Number | 1699368324
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Entity Type | Individual
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Provider Name | MEGHAN AMBER TEGTMEIER ASW, LSW
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Gender | Female
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Dates
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Enumeration Date | 02/13/2021
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 2360 W HORIZON RIDGE PKWY STE 120
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City | HENDERSON
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State | NV
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Zip | 89052-5082
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Country | US
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Telephone | 702-294-0433
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Fax |
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Provider Business Mailing Address
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Address Line | 313 BRILLIANT SUMMIT CIR
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City | HENDERSON
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State | NV
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Zip | 89052-2374
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 8982-S
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 85173
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | IC-1799
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License Number State | NV
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