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General NPI Number Information
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NPI Number | 1942924477
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Entity Type | Individual
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Provider Name | MEGAN FUNKHOUSER MA
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Gender | Female
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Dates
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Enumeration Date | 09/28/2022
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 312 S MAIN ST
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City | TROY
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State | IL
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Zip | 62294-1809
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Country | US
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Telephone | 314-246-0310
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Fax |
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Provider Business Mailing Address
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Address Line | 618 BUCKINGHAM DR
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City | TROY
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State | IL
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Zip | 62294-2069
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Country | US
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Telephone | 618-751-4466
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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