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NPI Code Detail

MEDICARE: MEGAN GEORGE

MEDICARE: MEGAN GEORGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1316009293
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN GEORGE
Provider Business Mailing Address
First Line : 35801 53RD ST E
Second Line :
City : PALMDALE
State : CA
Zip : 93552-6335
Country : US
Telephone Number : 661-965-5903
Fax Number : 661-533-0029
Provider Business Practice Location Address
First Line : 15317 RAYEN ST
Second Line :
City : NORTH HILLS
State : CA
Zip : 91343-5117
Country : US
Telephone Number : 818-892-3423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2006
Last Update Date : 12/07/2007

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