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General NPI Number Information
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NPI Number | 1922500255
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Entity Type | Individual
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Provider Name | MEGHANN G TIGNOR CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/02/2018
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Last Update Date | 03/02/2018
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Provider Practice Location Address
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Address Line | 1444 DUNSTAN LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-4241
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Country | US
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Telephone | 757-648-3920
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Fax |
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Provider Business Mailing Address
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Address Line | 3746 W STRATFORD RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-1630
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Country | US
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Telephone | 757-515-4239
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202004646
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License Number State | VA
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