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NPI Code Detail

MEDICARE: MEGAN EMILY BLACKFORD PLPC

MEDICARE:   MEGAN EMILY BLACKFORD  PLPC
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1588420632
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN EMILY BLACKFORD PLPC
Provider Business Mailing Address
First Line : 6425 EAGLE XING
Second Line :
City : OSAGE BEACH
State : MO
Zip : 65065-9812
Country : US
Telephone Number : 502-645-9673
Fax Number :
Provider Business Practice Location Address
First Line : 6425 EAGLE XING
Second Line :
City : OSAGE BEACH
State : MO
Zip : 65065-9812
Country : US
Telephone Number : 502-645-9673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2024
Last Update Date : 02/26/2024

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Directions to “ MEGAN EMILY BLACKFORD PLPC” Practice Location

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