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General NPI Number Information
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NPI Number | 1144281155
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Entity Type | Individual
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Provider Name | MEGAN M MAHONEY MD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 308 MAIN STREET
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City | OLATHE
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State | CO
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Zip | 81425-0529
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Country | US
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Telephone | 970-323-6141
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Fax | 970-323-6117
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Provider Business Mailing Address
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Address Line | 2233 E MAIN ST BUSINESS OPTIONS MEDICAL BILLING
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City | MONTROSE
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State | CO
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Zip | 81401-3831
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Country | US
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Telephone | 970-765-0818
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Fax | 970-497-8410
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 32529
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 38854
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 51303
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License Number State | CO
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