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General NPI Number Information
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NPI Number | 1922498138
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Entity Type | Individual
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Provider Name | MEGAN GRAFF SUAREZ
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Gender | Female
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 5745 KEARNY VILLA RD STE 113
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City | SAN DIEGO
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State | CA
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Zip | 92123-1171
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Country | US
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Telephone | 619-210-0945
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Fax |
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Provider Business Mailing Address
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Address Line | 3267 OCEAN FRONT WALK
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City | SAN DIEGO
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State | CA
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Zip | 92109-7773
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Country | US
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Telephone | 713-870-8830
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 293005
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License Number State | CA
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