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General NPI Number Information
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NPI Number | 1467041020
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Entity Type | Individual
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Provider Name | MEGAN MANGEL
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Gender | Female
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Dates
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Enumeration Date | 01/18/2021
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 544 PLEASANT ST
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City | PAWTUCKET
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State | RI
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Zip | 02860-5726
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Country | US
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Telephone | 954-399-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 3601 SW 160TH AVE STE 250
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City | MIRAMAR
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State | FL
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Zip | 33027-6314
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Country | US
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Telephone | 954-399-4673
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 113468
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN03539
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License Number State | RI
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