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General NPI Number Information
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NPI Number | 1235926106
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Entity Type | Individual
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Provider Name | MEGAN ELIZABETH CALLAGHAN-VANDERWALL MD
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Gender | Female
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 2215 FULLER RD
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City | ANN ARBOR
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State | MI
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Zip | 48105-2303
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Country | US
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Telephone | 734-845-5290
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 E MEDICAL CENTER DR. SPC 5368 3116 TAUBMAN CENTER
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City | ANN ARBOR
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State | MI
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Zip | 48109
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Country | US
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Telephone | 734-845-5290
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4351053894
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License Number State | MI
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