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General NPI Number Information
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NPI Number | 1649096835
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Entity Type | Individual
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Provider Name | MEAGHAN ELIZABETH BAKER NP
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Gender | Female
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 250 N MAIN ST
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City | EAST LONGMEADOW
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State | MA
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Zip | 01028-1834
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Country | US
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Telephone | 413-525-1870
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Fax |
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Provider Business Mailing Address
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Address Line | 137 MAXWELL RD
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City | MONSON
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State | MA
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Zip | 01057-9467
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Country | US
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Telephone | 413-636-5458
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F11240720
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License Number State | MA
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