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General NPI Number Information
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NPI Number | 1326513516
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Entity Type | Individual
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Provider Name | MEGAN THOMPSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/04/2018
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 5731 BEE RIDGE RD
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City | SARASOTA
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State | FL
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Zip | 34233-5056
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Country | US
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Telephone | 727-510-1001
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Fax |
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Provider Business Mailing Address
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Address Line | 6001 6TH AVE NW
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City | BRADENTON
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State | FL
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Zip | 34209-1703
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Country | US
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Telephone | 941-510-1001
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9111631
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9111631
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License Number State | FL
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