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General NPI Number Information
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NPI Number | 1932645702
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Entity Type | Individual
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Provider Name | MEGAN S DIDONATO ATC LAT
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Gender | Female
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Dates
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Enumeration Date | 01/17/2017
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 6767 LAKE WOODLANDS DR SUITE F
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City | THE WOODLANDS
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State | TX
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Zip | 77382-2566
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Country | US
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Telephone | 281-364-1122
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Fax | 281-210-2446
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Provider Business Mailing Address
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Address Line | 9180 PINECROFT DR STE 390
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City | SHENANDOAH
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State | TX
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Zip | 77380-3899
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Country | US
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Telephone | 281-939-5655
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Fax | 281-399-4496
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT4357
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License Number State | TX
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