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General NPI Number Information
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NPI Number | 1801565510
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Entity Type | Individual
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Provider Name | MEAGAN FORSTER
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Gender | Female
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Dates
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Enumeration Date | 09/07/2021
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Last Update Date | 09/07/2021
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Provider Practice Location Address
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Address Line | 240 N SHERMAN ST
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City | WILKES BARRE
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State | PA
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Zip | 18702-5316
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Country | US
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Telephone | 484-695-2726
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Fax |
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Provider Business Mailing Address
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Address Line | 1524 PLANE ST
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City | AVOCA
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State | PA
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Zip | 18641-1759
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Country | US
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Telephone | 484-695-2726
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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 | OC017429
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License Number State | PA
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