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General NPI Number Information
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NPI Number | 1720895659
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Entity Type | Individual
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Provider Name | MEGAN MONELL MASSEY
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Gender | Female
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 2350 FIVE ROCKS RD
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City | GERING
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State | NE
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Zip | 69341-6401
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Country | US
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Telephone | 308-631-9871
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Fax |
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Provider Business Mailing Address
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Address Line | 1418 LARKSPUR DR
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City | SCOTTSBLUFF
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State | NE
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Zip | 69361-4507
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Country | US
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Telephone | 308-631-0716
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | NE
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