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General NPI Number Information
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NPI Number | 1831466069
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Entity Type | Individual
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Provider Name | MEGAN MCNEAL AT
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Gender | Female
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 1111 RAINTREE CIR SUITE 100
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City | ALLEN
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State | TX
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Zip | 75013-4901
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Country | US
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Telephone | 214-509-0029
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Fax | 214-509-0070
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Provider Business Mailing Address
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Address Line | 5100 W ELDORADO PKWY #102-20ASSC
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City | MCKINNEY
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State | TX
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Zip | 75070-6510
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Country | US
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Telephone | 214-509-0029
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Fax | 214-509-0070
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT5072
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License Number State | TX
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