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General NPI Number Information
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NPI Number | 1174207757
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Entity Type | Individual
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Provider Name | MEGAN ANN HARTSELL MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 3415 HOBSON RD
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City | FORT WAYNE
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State | IN
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Zip | 46805-1617
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Country | US
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Telephone | 260-373-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 11109 PARKVIEW PLAZA DR # 117
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City | FORT WAYNE
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State | IN
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Zip | 46845-1701
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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 | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | 71013619A
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License Number State | IN
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