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General NPI Number Information
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NPI Number | 1154771699
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Entity Type | Individual
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Provider Name | MEGAN R. RALSTON M.S., FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 1675 N MAIN ST
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City | LAPEL
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State | IN
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Zip | 46051-9671
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Country | US
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Telephone | 765-298-4480
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Fax | 765-534-3022
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Provider Business Mailing Address
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Address Line | 6626 E 75TH ST STE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2890
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71006432A
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License Number State | IN
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