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NPI 1548947575

NPI 1548947575 : MS. MEGAN NEILSEN : NORTH PLATTE, NE

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General NPI Number Information
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    NPI Number           |    1548947575
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    Entity Type          |    Individual 
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    Provider Name        |    MS. MEGAN NEILSEN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/30/2023
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    Last Update Date     |    10/17/2025
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Provider Practice Location Address
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    Address Line         |    611 W FRANCIS ST STE 200 
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    City                 |    NORTH PLATTE
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    State                |    NE
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    Zip                  |    69101-0614
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    Country              |    US
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    Telephone            |    402-568-3500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2923 DOVER DR 
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    City                 |    NORFOLK
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    State                |    NE
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    Zip                  |    68701-3153
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    3310
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    License Number State |    NE
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