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General NPI Number Information
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NPI Number | 1336491562
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Entity Type | Individual
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Provider Name | MEGHAN SUZANNE AMES RN, PPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/11/2012
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 1413 WENTZVILLE PKWY
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City | WENTZVILLE
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State | MO
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Zip | 63385-3407
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Country | US
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Telephone | 636-332-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 10459 STATE HIGHWAY M
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City | WRIGHT CITY
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State | MO
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Zip | 63390-5430
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Country | US
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Telephone | 314-707-4670
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 2009038221
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License Number State | MO
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