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General NPI Number Information
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NPI Number | 1003387101
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Entity Type | Individual
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Provider Name | MEGHAN KNAPP
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Gender | Female
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 1742 OAK RD
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City | SNELLVILLE
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State | GA
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Zip | 30078-2234
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Country | US
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Telephone | 770-638-1401
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Fax |
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Provider Business Mailing Address
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Address Line | 3775 HUNTING RIDGE DR SW
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City | LILBURN
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State | GA
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Zip | 30047-2509
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Country | US
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Telephone | 404-444-6199
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RN223941
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License Number State | GA
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