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General NPI Number Information
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NPI Number | 1790282580
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Entity Type | Individual
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Provider Name | MEGHAN ELIZABETH THOMAS ATC, CFO
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Gender | Female
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Dates
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Enumeration Date | 04/09/2018
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 6 LINCOLN ST
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City | SPRINGFIELD
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State | VT
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Zip | 05156
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Country | US
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Telephone | 802-275-8484
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Fax |
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Provider Business Mailing Address
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Address Line | 310 TAUGHANNOCK BLVD STE 5
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City | ITHACA
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State | NY
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Zip | 14850-3251
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Country | US
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Telephone | 607-252-3580
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Fax | 607-252-3971
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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 | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number | CFO05421
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 1325
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 004592
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License Number State | NY
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