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NPI 1295170918

NPI 1295170918 : MEGAN ELIZABETH WRIGHT PA : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1295170918
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN ELIZABETH WRIGHT PA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/08/2013
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    Last Update Date     |    05/29/2024
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Provider Practice Location Address
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    Address Line         |    22 S GREENE ST 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21201-1590
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    Country              |    US
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    Telephone            |    410-328-5636
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    913 SOUTHERLY RD APT 118 
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    City                 |    TOWSON
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    State                |    MD
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    Zip                  |    21204-2618
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    Country              |    US
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    Telephone            |    570-974-9639
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    MA056004
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    License Number State |    MD
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