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General NPI Number Information
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NPI Number | 1891208427
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Entity Type | Organization
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Legal Business Name | MEGAN PARKER OT, LLC
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 11/06/2017
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Provider Practice Location Address
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Address Line | 538 WOODBINE DR
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City | LEXINGTON
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State | KY
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Zip | 40503-1238
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Country | US
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Telephone | 859-358-6181
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Fax |
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Provider Business Mailing Address
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Address Line | 538 WOODBINE DR
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City | LEXINGTON
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State | KY
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Zip | 40503-1238
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Country | US
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Telephone | 859-358-6181
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MEGAN PARKER
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Credential | OTR/L
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Telephone | 859-358-6181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 166486
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License Number State | KY
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