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General NPI Number Information
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NPI Number | 1104700152
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Entity Type | Individual
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Provider Name | MEGAN KINLER AGACNP
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Gender | Female
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 3001 BROADMOOR BLVD NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-2100
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Country | US
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Telephone | 505-270-5402
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Fax |
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Provider Business Mailing Address
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Address Line | 641 PLAYFUL MEADOWS DR NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-4094
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 90748
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 86924
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License Number State | NM
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