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General NPI Number Information
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NPI Number | 1629697636
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Entity Type | Individual
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Provider Name | MEGAN SANDO DANNEMILLER MD
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Gender | Female
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 3702 2ND AVE
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City | COLUMBUS
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State | GA
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Zip | 31904-7408
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Country | US
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Telephone | 706-507-9209
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Fax | 706-507-9249
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Provider Business Mailing Address
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Address Line | 8137 MARAUDER DR
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City | TAMPA
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State | FL
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Zip | 33621-1424
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Country | US
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Telephone | 706-566-0065
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 104863
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | ME170215
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License Number State | FL
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