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General NPI Number Information
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NPI Number | 1841734746
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Entity Type | Organization
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Legal Business Name | MEAGAN FORD, LLC
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Dates
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Enumeration Date | 12/12/2016
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 42 DOVER POINT RD UNIT B DOVER POINT OFFICE PARK
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City | DOVER
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State | NH
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Zip | 03820-4668
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Country | US
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Telephone | 603-516-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 208 LOCUST ST
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City | DOVER
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State | NH
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Zip | 03820-4034
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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 | LICENSED MASSAGE THERAPIST
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Name | MEAGAN CATHERINE FORD
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Credential |
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Telephone | 603-320-5262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 6121M
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License Number State | NH
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