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General NPI Number Information
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NPI Number | 1427502087
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Entity Type | Individual
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Provider Name | MEGAN M BLASINGAME CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 3101 GARRETT DR
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City | PERRYTON
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State | TX
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Zip | 79070-5323
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Country | US
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Telephone | 806-435-3606
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Fax |
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Provider Business Mailing Address
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Address Line | 13725 COUNTY ROAD 16
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City | PERRYTON
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State | TX
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Zip | 79070-6714
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Country | US
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Telephone | 806-570-2224
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP132923
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License Number State | TX
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