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General NPI Number Information
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NPI Number | 1073171591
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Entity Type | Individual
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Provider Name | MEGAN O'BRIEN PA
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Gender | Female
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 1720 CENTRAL AVE E
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City | HAMPTON
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State | IA
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Zip | 50441-1869
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Country | US
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Telephone | 641-456-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 CENTRAL AVE E
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City | HAMPTON
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State | IA
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Zip | 50441-1869
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Country | US
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Telephone | 641-445-5050
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 097540
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 097540
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License Number State | IA
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