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General NPI Number Information
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NPI Number | 1902358047
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Entity Type | Individual
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Provider Name | MEGHAN RENEE PRATO PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/25/2016
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Provider Practice Location Address
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Address Line | 1084 E LANCASTER AVE
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City | BRYN MAWR
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State | PA
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Zip | 19010-1515
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Country | US
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Telephone | 610-642-3359
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Fax |
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Provider Business Mailing Address
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Address Line | 404 GARDEN RD
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City | SPRINGFIELD
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State | PA
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Zip | 19064-3507
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Country | US
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Telephone | 717-576-4506
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS017918
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License Number State | PA
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