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General NPI Number Information
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NPI Number | 1427855253
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Entity Type | Individual
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Provider Name | MEAGAN CHRISMAN FNP
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Gender | Female
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 874 LANIER AVE W STE 220
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-7659
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Country | US
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Telephone | 788-331-4446
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Fax |
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Provider Business Mailing Address
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Address Line | 145 RALSTON CT
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City | FAYETTEVILLE
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State | GA
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Zip | 30215-2543
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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 | RN305616
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License Number State | GA
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