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General NPI Number Information
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NPI Number | 1538671383
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Entity Type | Individual
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Provider Name | MEGAN RENEE HUBBARD DO
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Gender | Female
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Dates
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Enumeration Date | 11/02/2017
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1380 E MEDICAL CENTER DR STE 4100
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City | ST GEORGE
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State | UT
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Zip | 84790-2156
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Country | US
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Telephone | 435-251-2800
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Fax | 435-251-2801
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Provider Business Mailing Address
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Address Line | PO BOX 27128
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City | SALT LAKE CITY
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State | UT
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Zip | 84127-0128
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Country | US
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Telephone |
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | DO2887
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DO2887
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | SL1424
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 14206448-1205
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License Number State | UT
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