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General NPI Number Information
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NPI Number | 1063286151
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Entity Type | Individual
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Provider Name | MEGHAN FAY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 7201 WISCONSIN AVE STE 515
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City | BETHESDA
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State | MD
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Zip | 20814-4998
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Country | US
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Telephone | 703-674-7079
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Fax |
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Provider Business Mailing Address
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Address Line | 4636 31ST RD S
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City | ARLINGTON
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State | VA
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Zip | 22206-1602
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Country | US
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Telephone | 703-674-7079
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AC006063
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License Number State | MD
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