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General NPI Number Information
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NPI Number | 1962223073
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Entity Type | Individual
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Provider Name | MEAGHAN DENISE BURRELL LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 750 S CHURCH ST
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City | SPARTANBURG
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State | SC
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Zip | 29306-5348
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Country | US
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Telephone | 864-582-2411
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Fax |
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Provider Business Mailing Address
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Address Line | 151 LOVE LN
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City | PACOLET
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State | SC
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Zip | 29372-3202
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Country | US
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Telephone | 864-804-7079
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 17165
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License Number State | SC
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