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NPI 1164064887

NPI 1164064887 : MEGHAN BYRNE PA : MONTGOMERY, OH

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General NPI Number Information
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    NPI Number           |    1164064887
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    Entity Type          |    Individual 
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    Provider Name        |    MEGHAN BYRNE PA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/14/2019
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    Last Update Date     |    11/24/2025
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Provider Practice Location Address
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    Address Line         |    10506A MONTGOMERY RD STE 301 
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    City                 |    MONTGOMERY
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    State                |    OH
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    Zip                  |    45242-4400
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    Country              |    US
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    Telephone            |    513-246-2400
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    Fax                  |    513-246-4047
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Provider Business Mailing Address
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    Address Line         |    10506A MONTGOMERY RD STE 301 
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    City                 |    MONTGOMERY
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    State                |    OH
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    Zip                  |    45242-4402
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    Country              |    US
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    Telephone            |    513-246-2400
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    Fax                  |    513-246-4047
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    50.009496RX
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    License Number State |    OH
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