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General NPI Number Information
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NPI Number | 1477377828
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Entity Type | Individual
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Provider Name | MEGAN OBERMEIER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 2164 PRAIRIE VIEW DR
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City | FARMINGTON
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State | UT
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Zip | 84025-2787
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Country | US
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Telephone | 712-363-4137
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Fax |
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Provider Business Mailing Address
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Address Line | 2164 PRAIRIE VIEW DR
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City | FARMINGTON
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State | UT
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Zip | 84025-2787
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Country | US
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Telephone | 712-363-4137
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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 | 14153131-8900
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A181342
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 14153131-4405
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License Number State | UT
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