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NPI 1912472150

NPI 1912472150 : MEGHAN DONLON L.AC : SOUTH PORTLAND, ME

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General NPI Number Information
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    NPI Number           |    1912472150
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    Entity Type          |    Individual 
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    Provider Name        |    MEGHAN DONLON L.AC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/03/2018
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    Last Update Date     |    01/31/2024
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Provider Practice Location Address
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    Address Line         |    118 MAINE MALL RD 
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    City                 |    SOUTH PORTLAND
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    State                |    ME
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    Zip                  |    04106-2309
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    Country              |    US
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    Telephone            |    207-602-8266
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6 HICKORY HOLW 
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    City                 |    SACO
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    State                |    ME
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    Zip                  |    04072-9546
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    Country              |    US
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    Telephone            |    207-602-8266
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    AC578
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    License Number State |    ME
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