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General NPI Number Information
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NPI Number | 1740617885
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Entity Type | Individual
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Provider Name | MEAGAN LOUISE LILLY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/03/2013
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 5250 W DOVE CENTRE RD
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City | MARANA
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State | AZ
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Zip | 85658-5159
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Country | US
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Telephone | 520-232-2483
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Fax | 520-844-7827
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Provider Business Mailing Address
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Address Line | 9317 W CREOSOTE RAIN DR
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City | MARANA
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State | AZ
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Zip | 85653-1010
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Country | US
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Telephone | 858-472-2789
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 13844
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTH-008341
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License Number State | AZ
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