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General NPI Number Information
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NPI Number | 1386916740
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Entity Type | Individual
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Provider Name | MEGAN D LAUVRAY NP
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Gender | Female
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Dates
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Enumeration Date | 02/01/2012
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 3533 SOUTHERN BLVD SUITE 4300
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City | KETTERING
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State | OH
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Zip | 45429-1272
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Country | US
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Telephone | 937-610-3220
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Fax | 937-610-3225
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Provider Business Mailing Address
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Address Line | 7756 WASHINGTON VILLAGE DR STE 145
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City | DAYTON
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State | OH
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Zip | 45459-3999
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Country | US
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Telephone | 937-610-3220
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Fax | 937-610-3225
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | COA13112NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | COA13112-NP
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License Number State | OH
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