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General NPI Number Information
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NPI Number | 1700633922
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Entity Type | Individual
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Provider Name | MEGAN GALLOWAY AMFT
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Gender | Female
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Dates
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Enumeration Date | 05/06/2024
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 107 S FAIR OAKS AVE STE 310
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City | PASADENA
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State | CA
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Zip | 91105-2012
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Country | US
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Telephone | 626-319-2287
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Fax |
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Provider Business Mailing Address
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Address Line | 1263 E TOPEKA ST
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City | PASADENA
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State | CA
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Zip | 91104-1459
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Country | US
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Telephone | 213-268-5772
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | AMFT144859
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License Number State | CA
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