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General NPI Number Information
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NPI Number | 1558698753
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Entity Type | Individual
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Provider Name | MEGAN N FERGUSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/09/2009
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 2605 WASHINGTON ST
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City | PELLA
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State | IA
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Zip | 50219-7924
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Country | US
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Telephone | 641-620-9119
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Fax | 641-638-8182
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Provider Business Mailing Address
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Address Line | 2605 WASHINGTON ST
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City | PELLA
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State | IA
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Zip | 50219-7924
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Country | US
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Telephone | 641-620-9119
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Fax | 641-638-8182
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A114129
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License Number State | IA
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