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General NPI Number Information
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NPI Number | 1154992683
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Entity Type | Individual
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Provider Name | MEGAN ELIZABETH DICKERSON
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Gender | Female
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Dates
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Enumeration Date | 07/06/2021
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 320 E NORTH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15212-4756
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Country | US
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Telephone | 412-240-9781
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Fax |
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Provider Business Mailing Address
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Address Line | 1457 PARKSIDE DR
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City | FAIRMONT
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State | WV
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Zip | 26554-9028
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 0202218873
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 68917
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License Number State | TX
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