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General NPI Number Information
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NPI Number | 1275103178
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Entity Type | Individual
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Provider Name | MYEA MEIGHAN
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Gender | Female
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Dates
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Enumeration Date | 07/01/2021
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 19 W 21ST ST RM 1003
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City | NEW YORK
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State | NY
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Zip | 10010-6843
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Country | US
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Telephone | 917-740-5287
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Fax |
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Provider Business Mailing Address
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Address Line | 1410 E 48TH ST
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City | BROOKLYN
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State | NY
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Zip | 11234-2104
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Country | US
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Telephone | 718-810-4465
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 403666
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 659194
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License Number State | NY
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