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NPI 1629268149

NPI 1629268149 : MEGAN B LOVORN MD : GREENSBORO, NC

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General NPI Number Information
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    NPI Number           |    1629268149
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN B LOVORN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/31/2007
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    Last Update Date     |    08/25/2021
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Provider Practice Location Address
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    Address Line         |    1126 N CHURCH ST STE 103 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27401-1035
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    Country              |    US
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    Telephone            |    336-663-4900
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    Fax                  |    336-663-4920
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Provider Business Mailing Address
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    Address Line         |    1126 N CHURCH ST STE 103 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27401-1035
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    Country              |    US
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    Telephone            |    336-663-4900
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    Fax                  |    336-663-4920
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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        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    2007-01308
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    License Number State |    NC
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