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General NPI Number Information
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NPI Number | 1144042250
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Entity Type | Individual
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Provider Name | MEAGAN KEANE APRN
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Gender | Female
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 7545 MEDICAL DR.
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City | HUDSON
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State | FL
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Zip | 34667
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Country | US
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Telephone | 727-862-3548
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Fax |
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Provider Business Mailing Address
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Address Line | 11203 PEMBRIDGE CT. APT 6
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City | PORT RICHEY
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State | FL
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Zip | 34668
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Country | US
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Telephone | 727-698-0809
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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 | 11035001
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License Number State | FL
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