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General NPI Number Information
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NPI Number | 1932777893
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Entity Type | Individual
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Provider Name | CASSANDRA ROSE MEGAHAN
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Gender | Female
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 4405 COMMONS DR E
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City | DESTIN
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State | FL
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Zip | 32541-3538
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Country | US
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Telephone | 850-353-2153
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Fax | 448-233-0696
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Provider Business Mailing Address
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Address Line | 105 ABBIGAIL XING
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City | TOWNSEND
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State | DE
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Zip | 19734-2891
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Country | US
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Telephone | 302-464-9666
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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