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General NPI Number Information
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NPI Number | 1295307684
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Entity Type | Individual
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Provider Name | MEGAN MCCOMY
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Gender | Female
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 1303 HOSPITAL GROUND STE 10
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City | CHARLOTTE AMALIE
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State | VI
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Zip | 00802-6722
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Country | US
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Telephone | 340-774-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 5776 MUIR CASTLE LN
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City | SAINT LOUIS
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State | MO
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Zip | 63129-4333
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Country | US
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Telephone | 314-221-1987
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2021016527
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License Number State | MO
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