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NPI 1760805535

NPI 1760805535 : MEGAN OCONNOR LAC : ARLINGTON, VA

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General NPI Number Information
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    NPI Number           |    1760805535
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN OCONNOR LAC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/29/2014
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    Last Update Date     |    01/26/2015
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Provider Practice Location Address
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    Address Line         |    1716 N QUEBEC ST 
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    City                 |    ARLINGTON
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    State                |    VA
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    Zip                  |    22207-3018
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    Country              |    US
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    Telephone            |    732-977-2027
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1716 N QUEBEC ST 
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    City                 |    ARLINGTON
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    State                |    VA
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    Zip                  |    22207-3018
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    Country              |    US
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    Telephone            |    732-977-2027
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    0121000758
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    15457
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    License Number State |    CA
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