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General NPI Number Information
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NPI Number | 1497030654
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Entity Type | Organization
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Legal Business Name | MEGAN EPPS LLC
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Dates
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Enumeration Date | 10/19/2011
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 5400 WOLF ST
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City | FREDERICK
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State | CO
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Zip | 80504-3432
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Country | US
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Telephone | 970-481-6066
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Fax |
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Provider Business Mailing Address
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Address Line | 5400 WOLF ST
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City | FREDERICK
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State | CO
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Zip | 80504-3432
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Country | US
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Telephone | 970-481-6066
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MEGAN EPPS
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Credential | D.C.
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Telephone | 970-481-6066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6565
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License Number State | CO
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