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General NPI Number Information
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NPI Number | 1144454695
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Entity Type | Individual
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Provider Name | MEGAN A STEVENSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 231 ALBERT SABIN WAY
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City | CINCINNATI
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State | OH
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Zip | 45267-2827
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Country | US
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Telephone | 513-558-5861
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Fax |
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Provider Business Mailing Address
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Address Line | 334 2ND AVE APT 2A
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City | GALLIPOLIS
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State | OH
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Zip | 45631-1414
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Country | US
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Telephone | 513-313-4215
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.121751
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License Number State | OH
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