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General NPI Number Information
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NPI Number | 1013556729
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Entity Type | Individual
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Provider Name | MEGHAN GARDECKI REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 12/27/2019
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Last Update Date | 12/27/2019
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Provider Practice Location Address
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Address Line | 75 BARBICAN TRAIL
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City | ST CATHARINES
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State | ONTARIO
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Zip | L2T4A9
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Country | CA
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Telephone | 226-387-1725
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Fax |
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Provider Business Mailing Address
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Address Line | 75 BARBICAN TRAIL
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City | ST CATHARINES
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State | ONTARIO
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Zip | L2T4A9
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Country | CA
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 751395-1
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License Number State | NY
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