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General NPI Number Information
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NPI Number | 1972884252
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Entity Type | Individual
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Provider Name | MEGAN RAE ROCKWOOD MA, LMHC, CAP
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Gender | Female
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Dates
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Enumeration Date | 08/31/2011
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Last Update Date | 10/23/2015
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Provider Practice Location Address
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Address Line | 10175 FORTUNE PKWY ST 1106
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City | JACKSONVILLE
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State | FL
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Zip | 32256-6746
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Country | US
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Telephone | 904-379-5928
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Fax | 888-793-2304
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Provider Business Mailing Address
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Address Line | 10175 FORTUNE PKWY ST 1106
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City | JACKSONVILLE
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State | FL
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Zip | 32256-6746
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Country | US
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Telephone | 904-379-5928
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Fax | 888-793-2304
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39002283A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH11413
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAP 5818
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License Number State | FL
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