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General NPI Number Information
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NPI Number | 1679111322
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Entity Type | Individual
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Provider Name | MEGAN COLEMAN NP
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Gender | Female
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Dates
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Enumeration Date | 12/12/2019
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 38238 GLENN AVE
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City | WILLOUGHBY
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State | OH
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Zip | 44094-7808
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Country | US
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Telephone | 440-510-8519
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Fax |
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Provider Business Mailing Address
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Address Line | 38355 WESTMINSTER LN
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City | WILLOUGHBY
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State | OH
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Zip | 44094-7565
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Country | US
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Telephone | 440-341-0727
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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 | 331984
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License Number State | OH
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