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General NPI Number Information
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NPI Number | 1073359345
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Entity Type | Individual
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Provider Name | MEGAN HENTSCHEL CRISP FNP-BC, DNP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2024
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 2359 SPRINGS RD NE
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City | HICKORY
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State | NC
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Zip | 28601-3067
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Country | US
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Telephone | 828-256-9853
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Fax |
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Provider Business Mailing Address
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Address Line | 100 KIMEL FOREST DR
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City | WINSTON SALEM
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State | NC
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Zip | 27103-6074
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Country | US
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Telephone | 336-716-1331
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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 | F06242151
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5020420
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License Number State | NC
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