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General NPI Number Information
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NPI Number | 1518522614
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Entity Type | Individual
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Provider Name | MEGAN BRANSTITER BSN
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Gender | Female
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Dates
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Enumeration Date | 05/03/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 160 CYPRESS POINT PKWY STE B201
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City | PALM COAST
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State | FL
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Zip | 32164-8442
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Country | US
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Telephone | 386-986-6498
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Fax |
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Provider Business Mailing Address
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Address Line | 27 BREWSTER LN
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City | PALM COAST
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State | FL
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Zip | 32137-8746
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Country | US
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Telephone | 828-460-4022
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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 | 163WR0400X
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Taxonomy Name | Rehabilitation Registered Nurse
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License Number | RN9510134
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License Number State | FL
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