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General NPI Number Information
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NPI Number | 1144215765
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Entity Type | Individual
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Provider Name | BARBARA JEAN MEGAHEE D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 667 THOMPSON ST
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City | HOMER
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State | GA
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Zip | 30547-3110
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Country | US
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Telephone | 706-677-2296
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Fax | 706-677-4042
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Provider Business Mailing Address
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Address Line | 180 DEER RDG
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City | ATHENS
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State | GA
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Zip | 30605-4411
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Country | US
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Telephone | 706-353-0110
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN011012
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License Number State | GA
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