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General NPI Number Information
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NPI Number | 1902310865
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Entity Type | Organization
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Legal Business Name | MEGAN KNOWLES, LLC
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Dates
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Enumeration Date | 11/29/2017
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Last Update Date | 11/29/2017
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Provider Practice Location Address
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Address Line | 4312 2ND SQ SW
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City | VERO BEACH
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State | FL
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Zip | 32968-2378
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Country | US
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Telephone | 316-706-6617
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Fax |
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Provider Business Mailing Address
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Address Line | 4312 2ND SQ SW
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City | VERO BEACH
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State | FL
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Zip | 32968-2378
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Country | US
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Telephone | 316-706-6617
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEGAN KNOWLES
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Credential | MA, CCC-SLP
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Telephone | 316-706-6617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2538
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 1324
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License Number State | FL
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