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General NPI Number Information
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NPI Number | 1588827638
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Entity Type | Individual
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Provider Name | MEGAN MARY MCCARTHY MSN, NP-C, CVNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 09/12/2019
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Provider Practice Location Address
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Address Line | 2149 E BASELINE RD SUITE 103
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City | TEMPE
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State | AZ
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Zip | 85283-1539
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Country | US
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Telephone | 480-345-0034
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Fax | 480-345-4033
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Provider Business Mailing Address
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Address Line | 4192 E PALM BEACH DRIVE
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City | CHANDLER
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State | AZ
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Zip | 85249
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Country | US
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Telephone | 602-432-1305
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | TAP3059
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License Number State | AZ
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