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General NPI Number Information
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NPI Number | 1083186407
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Entity Type | Individual
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Provider Name | MEGAN BRADY DNP, CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 12/24/2018
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 454 S LAFAYETTE ST
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City | DENVER
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State | CO
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Zip | 80209-2501
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Country | US
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Telephone | 813-390-9127
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Fax |
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Provider Business Mailing Address
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Address Line | 6225 SOARING AVE
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-1392
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Country | US
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Telephone | 913-390-9127
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN9410821
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License Number State | FL
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