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General NPI Number Information
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NPI Number | 1588237002
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Entity Type | Individual
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Provider Name | MEGAN KENNEDY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 07/06/2025
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Provider Practice Location Address
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Address Line | 127 CHURCH RD STE 800
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City | MARLTON
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State | NJ
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Zip | 08053-9425
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Country | US
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Telephone | 856-988-7899
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Fax |
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Provider Business Mailing Address
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Address Line | 2 WAGON WHEEL DR
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-1350
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Country | US
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Telephone | 856-904-1614
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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 | 26NJ01159800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 26NJ01159800
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License Number State | NJ
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