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General NPI Number Information
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NPI Number | 1659950707
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Entity Type | Individual
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Provider Name | MEGAN SMITH PHARM D
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Gender | Female
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 3701 WAYZATA BLVD STE 45
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City | MINNEAPOLIS
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State | MN
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Zip | 55416-3440
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Country | US
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Telephone | 844-841-9725
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 PRAIRIE ROSE PL
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City | RENO
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State | NV
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Zip | 89521-5120
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Country | US
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Telephone | 515-868-1418
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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 | 20432
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19115
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License Number State | NV
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