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General NPI Number Information
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NPI Number | 1548462294
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Entity Type | Individual
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Provider Name | MEGAN A BROCKEL MD
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Gender | Female
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 04/18/2011
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Provider Practice Location Address
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Address Line | 13123 E 16TH AVE THE CHILDRENS HOSPITAL
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City | AURORA
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State | CO
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Zip | 80045-7106
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Country | US
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Telephone | 720-777-1234
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 876 UNIVERSITY PHYSICIANS INC
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City | AURORA
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State | CO
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Zip | 80040-0876
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Country | US
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Telephone | 303-493-7000
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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 | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 49643
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License Number State | CO
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