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General NPI Number Information
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NPI Number | 1558737718
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Entity Type | Individual
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Provider Name | MEGHAN ELIZABETH MORETTI FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/11/2015
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Last Update Date | 09/25/2015
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Provider Practice Location Address
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Address Line | 100 BLUE FIN CIR STE 7
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City | SAVANNAH
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State | GA
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Zip | 31410-2463
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Country | US
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Telephone | 912-897-6832
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Fax |
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Provider Business Mailing Address
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Address Line | 151 STEVEN ST
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City | RICHMOND HILL
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State | GA
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Zip | 31324-7205
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Country | US
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Telephone | 719-306-2670
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 339494
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN251281
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License Number State | GA
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