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General NPI Number Information
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NPI Number | 1275084782
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Entity Type | Individual
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Provider Name | MEGAN ASHLEY CALLAHAN RDN, LDN
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Gender | Female
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 2440 N 11TH ST
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-8102
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Country | US
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Telephone | 970-298-6400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 63362
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City | CHARLOTTE
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State | NC
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Zip | 28263-3362
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Country | US
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Telephone | 919-620-4700
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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 | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | L004969
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License Number State | NC
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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 | L004969
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License Number State | NC
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