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NPI 1659258150

NPI 1659258150 : MEGAN GROSSETTI APRN : FREDERICKSBURG, VA

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General NPI Number Information
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    NPI Number           |    1659258150
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN GROSSETTI APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/18/2025
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    Last Update Date     |    01/26/2026
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Provider Practice Location Address
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    Address Line         |    101 PARK HILL DR 
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    City                 |    FREDERICKSBURG
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    State                |    VA
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    Zip                  |    22401-3357
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    Country              |    US
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    Telephone            |    540-371-3010
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1500 DUNES ST APT B-02 
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    City                 |    FREDERICKSBURG
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    State                |    VA
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    Zip                  |    22401-5018
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    Country              |    US
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    Telephone            |    724-674-2218
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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        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    11041741
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    License Number State |    FL
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