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General NPI Number Information
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NPI Number | 1306641568
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Entity Type | Individual
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Provider Name | MEGAN GLYN NOLAND NP
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Gender | Female
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 1527 MADISON ST
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City | FREDONIA
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State | KS
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Zip | 66736-1751
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Country | US
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Telephone | 620-378-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 717 N GALVESTON ST
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City | THAYER
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State | KS
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Zip | 66776-4033
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Country | US
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Telephone | 620-432-1769
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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 | 53-84055-101
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License Number State | KS
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