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General NPI Number Information
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NPI Number | 1144535519
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Entity Type | Individual
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Provider Name | ELIZABETH KYLE MEEHAN MD
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Gender | Female
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 2800 E AJO WAY
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City | TUCSON
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State | AZ
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Zip | 85713-6204
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Country | US
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Telephone | 520-874-4880
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Fax | 520-874-4882
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Provider Business Mailing Address
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Address Line | 2800 E AJO WAY RM 3002
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City | TUCSON
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State | AZ
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Zip | 85713-6204
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Country | US
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Telephone | 520-874-4880
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Fax | 520-874-4882
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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 | A49651
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License Number State | AZ
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