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General NPI Number Information
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NPI Number | 1154126092
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Entity Type | Individual
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Provider Name | MEGAN DENISE GRIFFIN R.T. (R)(M)(CI) RRA
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Gender | Female
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 2785 PRINCETON AVE
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City | FARMINGTON
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State | NM
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Zip | 87402-4506
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Country | US
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Telephone | 505-326-2964
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Fax |
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Provider Business Mailing Address
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Address Line | 2785 PRINCETON AVE
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City | FARMINGTON
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State | NM
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Zip | 87402-4506
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Country | US
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Telephone | 505-326-2964
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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 | 2471C1101X
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Taxonomy Name | Cardiovascular-Interventional Technology Radiologic Technologist
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License Number | 446230
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | 446230
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2471M2300X
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Taxonomy Name | Mammography Radiologic Technologist
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License Number | 446230
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License Number State |
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Taxonomy #4
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Taxonomy Code | 243U00000X
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Taxonomy Name | Radiology Practitioner Assistant
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License Number | 446230
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License Number State | NM
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