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General NPI Number Information
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NPI Number | 1053207571
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Entity Type | Individual
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Provider Name | MEGAN MONAHAN NP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 1 BELL TOWER DR
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City | WATERVLIET
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State | NY
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Zip | 12189-2333
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Country | US
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Telephone | 518-361-7974
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Fax |
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Provider Business Mailing Address
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Address Line | 16 DINU DR
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City | WARRENSBURG
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State | NY
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Zip | 12885-1006
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Country | US
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Telephone | 518-361-7974
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 713983
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License Number State | NY
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