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General NPI Number Information
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NPI Number | 1619533924
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Entity Type | Organization
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Legal Business Name | MEGAN MOBLEY DDS PLLC
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 4407 BEE CAVE ROAD BUILDING 2, SUITE 221
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City | AUSTIN
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State | TX
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Zip | 78746
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Country | US
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Telephone | 512-452-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 5618 ABILENE TRL
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City | AUSTIN
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State | TX
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Zip | 78749-2111
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Country | US
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Telephone | 512-545-5463
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MEGAN ANN LAUGHLIN-MOBLEY
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Credential | DDS
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Telephone | 512-545-5463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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