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General NPI Number Information
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NPI Number | 1639549066
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Entity Type | Individual
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Provider Name | MEREDITH ARIEL FLANAGAN NP
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Gender | Female
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Dates
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Enumeration Date | 09/28/2015
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 1045 US HIGHWAY 331 S STE D&E
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City | DEFUNIAK SPRINGS
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State | FL
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Zip | 32435-3379
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Country | US
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Telephone | 850-892-3366
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Fax | 850-892-9071
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Provider Business Mailing Address
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Address Line | 1850 TOWN CENTER PKWY
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City | RESTON
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State | VA
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Zip | 20190-3204
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9444272
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024190144
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License Number State | VA
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