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General NPI Number Information
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NPI Number | 1245855113
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Entity Type | Individual
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Provider Name | MEGAN JENSEN
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Gender | Female
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Dates
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Enumeration Date | 06/16/2020
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 1887 WHITNEY MESA DR # 5161
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City | HENDERSON
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State | NV
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Zip | 89014-2069
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Country | US
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Telephone | 702-914-0368
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Fax |
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Provider Business Mailing Address
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Address Line | 1887 WHITNEY MESA DR # 5161
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City | HENDERSON
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State | NV
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Zip | 89014-2069
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Country | US
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Telephone | 702-819-0368
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | D-1229
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | MED-NUTR-LIC-148298
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 074.0134657
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License Number State | VT
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 11802967-4901
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License Number State | UT
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Taxonomy #5
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 2216
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License Number State | NH
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