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General NPI Number Information
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NPI Number | 1942325840
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Entity Type | Individual
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Provider Name | MEGAN KATHLEEN PETTIT MSW
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 1420 MAIN ST.
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City | E. DENNIS
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State | MA
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Zip | 02641
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Country | US
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Telephone | 508-385-9090
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Fax | 508-385-5060
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Provider Business Mailing Address
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Address Line | PO BOX 1066
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City | DENNIS
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State | MA
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Zip | 02638
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Country | US
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Telephone | 508-385-9090
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Fax | 508-385-5060
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 514
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License Number State | MA
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