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General NPI Number Information
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NPI Number | 1811882699
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Entity Type | Individual
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Provider Name | MEGAN BERGERON CRC
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Gender | Female
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 6011 FAYETTEVILLE RD STE 106
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City | DURHAM
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State | NC
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Zip | 27713-6248
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Country | US
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Telephone | 919-228-8276
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Fax |
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Provider Business Mailing Address
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Address Line | 1740 NIGHT SKY TRL
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City | APEX
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State | NC
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Zip | 27502-4505
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Country | US
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Telephone |
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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 | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | 745298
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License Number State | NC
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