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General NPI Number Information
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NPI Number | 1013369255
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Entity Type | Individual
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Provider Name | MEGAN MAUREEN CHAMPION N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 13111 E BRIARWOOD AVE SUITE 105
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City | CENTENNIAL
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State | CO
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Zip | 80112-3930
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Country | US
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Telephone | 303-632-3640
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Fax | 303-632-3642
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Provider Business Mailing Address
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Address Line | 13111 E BRIARWOOD AVE SUITE 105
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City | CENTENNIAL
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State | CO
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Zip | 80112-3930
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Country | US
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Telephone | 303-632-3640
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Fax | 303-632-3642
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0182920
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0992382
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License Number State | CO
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