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General NPI Number Information
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NPI Number | 1639503865
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Entity Type | Individual
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Provider Name | MEGAN ELIZABETH SIMMONS KIEFER M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/23/2013
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1101 MOULTON AND PARSONS DR
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City | SAINT JAMES
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State | MN
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Zip | 56081-5550
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Country | US
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Telephone | 507-375-3391
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 860912
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0912
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Country | US
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Telephone | 507-375-3391
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 51216
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 72490
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License Number State | MN
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