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General NPI Number Information
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NPI Number | 1679451322
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Entity Type | Individual
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Provider Name | MEGAN CASSIDY POWELL BSN, RN, CNRN
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Gender | Female
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 55 FRUIT ST WANG 835
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City | BOSTON
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State | MA
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Zip | 02114
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Country | US
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Telephone | 617-726-7565
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Fax |
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Provider Business Mailing Address
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Address Line | 1 OAK GROVE AVE UNIT 215
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City | MELROSE
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State | MA
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Zip | 02176-6118
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Country | US
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Telephone | 770-634-2444
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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 | 163WN0800X
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Taxonomy Name | Neuroscience Registered Nurse
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License Number | 00398817
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2382739
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License Number State | MA
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