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General NPI Number Information
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NPI Number | 1992958623
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Entity Type | Individual
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Provider Name | VICTORIA A MEEHAN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/26/2008
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Last Update Date | 10/26/2008
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Provider Practice Location Address
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Address Line | 166 BLOOMS CORNERS RD
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City | WARWICK
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State | NY
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Zip | 10990-2308
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Country | US
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Telephone | 845-258-0237
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Fax | 845-988-5972
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Provider Business Mailing Address
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Address Line | 166 BLOOMS CORNERS RD
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City | WARWICK
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State | NY
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Zip | 10990-2308
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Country | US
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Telephone | 845-258-0237
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Fax | 845-988-5972
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 014844
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License Number State | NY
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