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General NPI Number Information
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NPI Number | 1780529768
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Entity Type | Individual
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Provider Name | MEGAN ALYSSA RECK RN
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Gender | Female
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 435 LANCASTER DR NE
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City | SALEM
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State | OR
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Zip | 97301-4729
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Country | US
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Telephone | 503-585-6388
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Fax | 503-585-0669
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Provider Business Mailing Address
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Address Line | 435 LANCASTER DR NE
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City | SALEM
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State | OR
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Zip | 97301-4729
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Country | US
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Telephone | 503-585-6388
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Fax | 503-585-0669
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 200941846RN
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License Number State | OR
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