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General NPI Number Information
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NPI Number | 1730817867
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Entity Type | Individual
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Provider Name | MEGAN MCGUGAN PHD
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Gender | Female
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 1101 DAVIS ST
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City | EVANSTON
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State | IL
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Zip | 60201-5945
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Country | US
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Telephone | 844-475-3379
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Fax | 855-644-2981
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Provider Business Mailing Address
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Address Line | 871 IBIS WALK PL N UNIT 2409
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City | SAINT PETERSBURG
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State | FL
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Zip | 33716-3858
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Country | US
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Telephone | 740-704-1664
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY10916
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | PY10916
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License Number State | FL
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