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General NPI Number Information
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NPI Number | 1386061117
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Entity Type | Individual
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Provider Name | MEGAN MARTIN
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Gender | Female
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 1272 GARRISON DR
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City | MURFREESBORO
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State | TN
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Zip | 37129-2598
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Country | US
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Telephone | 615-867-8130
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Fax | 615-867-8094
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Provider Business Mailing Address
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Address Line | 111 CHURCH CROSS RD
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City | BELL BUCKLE
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State | TN
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Zip | 37020-4402
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Country | US
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Telephone |
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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 | 18482
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License Number State | TN
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