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NPI 1508788142

NPI 1508788142 : MATTHEW MEGILL : MANGO, SAVANES

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General NPI Number Information
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    NPI Number           |    1508788142
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    Entity Type          |    Individual 
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    Provider Name        |    MATTHEW MEGILL
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/27/2026
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    Last Update Date     |    07/27/2026
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Provider Practice Location Address
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    Address Line         |    HOSPITAL OF HOPE BP 10
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    City                 |    MANGO
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    State                |    SAVANES
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    Zip                  |    BP 10
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    Country              |    TG
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    Telephone            |    
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    19 MAPLE ST 
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    City                 |    PRINCETON
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    State                |    NJ
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    Zip                  |    08542-3850
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    Country              |    US
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    Telephone            |    609-365-0110
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    MD435822
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    License Number State |    PA
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