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General NPI Number Information
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NPI Number | 1285246694
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Entity Type | Individual
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Provider Name | MEGHAN E REILLY DMD
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Gender | Female
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Dates
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Enumeration Date | 08/18/2020
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 2701 S MINNESOTA AVE STE 3
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City | SIOUX FALLS
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State | SD
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Zip | 57105-4746
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Country | US
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Telephone | 605-250-4651
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Fax |
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Provider Business Mailing Address
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Address Line | 4494 ROSEMARY WAY UNIT 1
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City | HUGO
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State | MN
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Zip | 55038-6011
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Country | US
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Telephone | 651-675-9037
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D1286
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License Number State | SD
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