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General NPI Number Information
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NPI Number | 1578133997
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Entity Type | Organization
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Legal Business Name | DR MEGAN OTOOLE PLLC
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 18707 HARDY OAK BLVD STE 435
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4792
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Country | US
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Telephone | 210-942-0292
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Fax | 424-349-0407
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Provider Business Mailing Address
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Address Line | 14439 NW MILITARY HWY STE 424
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City | SHAVANO PARK
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State | TX
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Zip | 78231-1646
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Country | US
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Telephone | 210-847-2492
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Fax | 424-349-0407
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Authorized Official
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Title or Position | PLASTIC SURGEON
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Name | DR. MEGAN OTOOLE
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Credential | DO
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Telephone | 210-942-0292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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