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General NPI Number Information
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NPI Number | 1679867642
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Entity Type | Individual
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Provider Name | MEGAN FLORO CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 211 GIBSON ST NW STE 215
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City | LEESBURG
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State | VA
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Zip | 20176-2115
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Country | US
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Telephone | 571-707-2085
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Fax |
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Provider Business Mailing Address
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Address Line | 12185 CHANCERY STATION CIR
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City | RESTON
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State | VA
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Zip | 20190-5802
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Country | US
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Telephone | 740-424-9512
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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 | 0024169124
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License Number State | VA
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