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General NPI Number Information
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NPI Number | 1174872733
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Entity Type | Individual
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Provider Name | MEGAN MARIE KEGLEY APRN
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Gender | Female
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 12/06/2018
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Provider Practice Location Address
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Address Line | 280 LINCOLN DR
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City | SPRINGFIELD
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State | KY
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Zip | 40069-1577
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Country | US
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Telephone | 859-336-9801
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 990
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City | DANVILLE
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State | KY
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Zip | 40423-0990
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Country | US
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Telephone | 859-239-2360
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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 | 3007585
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License Number State | KY
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