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General NPI Number Information
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NPI Number | 1114679487
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Entity Type | Individual
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Provider Name | MEGHAN LEAH WHIPPLE NP
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Gender | Female
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 01/19/2022
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Provider Practice Location Address
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Address Line | 2110 16TH ST STE 7
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City | BAY CITY
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State | MI
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Zip | 48708-7609
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Country | US
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Telephone | 989-667-2322
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Fax | 989-667-2327
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Provider Business Mailing Address
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Address Line | 2503 W LUDINGTON DR
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City | FARWELL
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State | MI
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Zip | 48622-9759
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Country | US
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Telephone | 517-899-1495
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 4704340511
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License Number State | MI
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