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General NPI Number Information
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NPI Number | 1326621657
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Entity Type | Individual
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Provider Name | MEGAN MARIE DOLL PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 670 BLVD DE FRANCE
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City | PARRIS ISLAND
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State | SC
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Zip | 29905-2575
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Country | US
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Telephone | 438-228-1315
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Fax |
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Provider Business Mailing Address
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Address Line | 34 CHESTERFIELD LAKE DR
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City | BEAUFORT
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State | SC
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Zip | 29906-9058
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Country | US
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Telephone | 303-476-8190
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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 | 4613
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License Number State | SC
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