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General NPI Number Information
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NPI Number | 1447595921
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Entity Type | Individual
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Provider Name | MEGAN MIGALLOS MAGPUSAO R.N.
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Gender | Female
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Dates
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Enumeration Date | 12/10/2012
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Last Update Date | 12/10/2012
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Provider Practice Location Address
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Address Line | 385 ESPLANADE AVE
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City | PACIFICA
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State | CA
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Zip | 94044-1882
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Country | US
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Telephone | 650-993-5576
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Fax |
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Provider Business Mailing Address
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Address Line | 27550 MIAMI AVE
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City | HAYWARD
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State | CA
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Zip | 94545-4716
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Country | US
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Telephone | 510-314-9737
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 811536
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 380256
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License Number State | OH
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