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General NPI Number Information
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NPI Number | 1376382259
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Entity Type | Individual
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Provider Name | MEGAN MARIE PATTERSON
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Gender | Female
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 7101 US HIGHWAY 19 N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-4607
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Country | US
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Telephone | 727-201-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 9100 DR MARTIN LUTHER KING JR ST N APT 1105
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-3079
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Country | US
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Telephone | 727-698-8711
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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 | APRN11030355
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License Number State | FL
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