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General NPI Number Information
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NPI Number | 1467739912
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Entity Type | Individual
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Provider Name | MEGAN ANNE RYAN CRNA
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Gender | Female
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Dates
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Enumeration Date | 11/11/2011
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR
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City | BIDDEFORD
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State | ME
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Zip | 04005-9422
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Country | US
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Telephone | 207-283-7042
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Fax |
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Provider Business Mailing Address
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Address Line | 3376 LAUREL DR
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City | GULF BREEZE
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State | FL
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Zip | 32563-3328
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Country | US
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Telephone | 518-368-2694
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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 | 532871-1
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License Number State | NY
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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 | RN9269992
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 817218
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 817218
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RNA213074
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License Number State | ME
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