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General NPI Number Information
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NPI Number | 1437066529
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Entity Type | Individual
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Provider Name | MEGAN MARIE FATICA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 6101 HEISLEY RD
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City | MENTOR
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State | OH
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Zip | 44060-1837
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Country | US
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Telephone | 440-974-8577
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Fax |
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Provider Business Mailing Address
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Address Line | 7935 JENNINGS DR
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City | PAINESVILLE
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State | OH
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Zip | 44077-8727
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LE-00065142
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License Number State | OH
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