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General NPI Number Information
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NPI Number | 1063850428
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Entity Type | Individual
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Provider Name | MISS MEGAN MCAULIFFE
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Gender | Female
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 07/24/2013
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Provider Practice Location Address
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Address Line | 689 LAKE DR
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City | WESTMINSTER
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State | MD
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Zip | 21158-1444
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Country | US
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Telephone | 443-794-2266
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Fax |
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Provider Business Mailing Address
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Address Line | 382 PARK POINTE WAY
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City | HUNTINGTON
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State | WV
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Zip | 25701-4054
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Country | US
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Telephone | 443-794-2266
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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 | 71339
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 71339
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License Number State | WV
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