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General NPI Number Information
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NPI Number | 1649653841
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Entity Type | Individual
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Provider Name | MEGAN FORREST
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Gender | Female
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 07/07/2015
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Provider Practice Location Address
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Address Line | 3914 CAPITAL BLVD
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City | RALEIGH
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State | NC
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Zip | 27604-3412
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Country | US
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Telephone | 919-876-0817
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 EXCHANGE PL APT 1104
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City | DURHAM
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State | NC
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Zip | 27713-1896
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Country | US
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Telephone | 919-699-9895
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 25241
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License Number State | NC
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