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General NPI Number Information
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NPI Number | 1033424676
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Entity Type | Individual
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Provider Name | MEGHAN BLUM LINDEN PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/06/2010
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Last Update Date | 02/09/2015
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Provider Practice Location Address
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Address Line | 1034 S BRENTWOOD BLVD SUITE 1120
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1223
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Country | US
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Telephone | 314-977-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 4 OLSNEY CT
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City | SAINT CHARLES
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State | MO
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Zip | 63303-3194
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Country | US
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Telephone | 314-977-4600
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA2010-0038
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License Number State | NM
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