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General NPI Number Information
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NPI Number | 1710241393
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Entity Type | Individual
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Provider Name | MEGAN MARIE LIMA ATC, OTC
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Gender | Female
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Dates
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Enumeration Date | 06/28/2012
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1215 DUFF AVE
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City | AMES
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State | IA
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Zip | 50010
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Country | US
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Telephone | 515-239-4475
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Fax | 515-239-4722
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Provider Business Mailing Address
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Address Line | 1401 NW 27TH ST.
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City | ANKENY
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State | IA
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Zip | 50323
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Country | US
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Telephone | 515-681-2014
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 000989
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License Number State | IA
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