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General NPI Number Information
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NPI Number | 1841446473
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Entity Type | Individual
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Provider Name | MEGHA BHARAT MANEK MD
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Gender | Female
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 2 MEMORIAL DR STE 220
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City | ALTON
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State | IL
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Zip | 62002-6723
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Country | US
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Telephone | 618-433-7901
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Fax |
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Provider Business Mailing Address
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Address Line | 4 MEMORIAL DRIVE SUITE 210
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City | ALTON
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State | IL
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Zip | 62002-6751
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Country | US
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Telephone | 618-463-5905
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Fax | 618-463-5935
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MT192430
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036-141114
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2024028247
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD443149
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License Number State | PA
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