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General NPI Number Information
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NPI Number | 1902915572
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Entity Type | Individual
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Provider Name | MEGAN JENNIFER COBB MD, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 04/03/2019
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Provider Practice Location Address
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Address Line | 500 UPPER CHESAPEAKE DR
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City | BEL AIR
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State | MD
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Zip | 21014
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Country | US
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Telephone | 443-643-2110
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Fax |
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Provider Business Mailing Address
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Address Line | 8522 VALLEYFIELD RD
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City | LUTHERVILLE
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State | MD
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Zip | 21093-3933
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Country | US
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Telephone | 410-337-2765
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | D0085345
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License Number State | MD
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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 | PT22165
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D0085345
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License Number State | MD
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