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General NPI Number Information
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NPI Number | 1003073024
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Entity Type | Individual
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Provider Name | MEGAN ELIZABETH SMETANA CPNP-AC
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Gender | Female
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 71 US ROUTE 1 STE C
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7174
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Country | US
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Telephone | 207-883-5532
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Fax | 207-883-5552
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Provider Business Mailing Address
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Address Line | 71 US ROUTE 1 STE C
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7174
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Country | US
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Telephone | 207-883-5532
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Fax | 207-883-5552
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 274045
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | CNP121012
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | CNP121012
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | CNP121012
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License Number State | ME
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