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NPI 1861018855

NPI 1861018855 : MEGAN DANIEL : ROWLETT, TX

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General NPI Number Information
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    NPI Number           |    1861018855
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN DANIEL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/25/2020
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    Last Update Date     |    09/14/2022
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Provider Practice Location Address
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    Address Line         |    3705 LAKEVIEW PKWY STE 105 
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    City                 |    ROWLETT
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    State                |    TX
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    Zip                  |    75088-4178
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    Country              |    US
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    Telephone            |    214-853-3075
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8913 CLEAR SKY DR 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75025-4130
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    CP011501T
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    CP015171T
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    License Number State |    VA
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1331424
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    License Number State |    TX
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