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General NPI Number Information
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NPI Number | 1952910432
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Entity Type | Individual
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Provider Name | MEGAN LEIGH OKEEFE L.AC
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Gender | Female
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 07/30/2020
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Provider Practice Location Address
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Address Line | 219 W MAIN ST # 1A
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City | MONTOUR FALLS
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State | NY
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Zip | 14865-9517
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Country | US
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Telephone | 607-366-0333
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Fax |
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Provider Business Mailing Address
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Address Line | 1378 STATE ROUTE 90 N
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City | KING FERRY
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State | NY
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Zip | 13081-9713
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Country | US
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Telephone | 845-701-1387
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 006714
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License Number State | NY
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