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General NPI Number Information
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NPI Number | 1689361131
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Entity Type | Individual
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Provider Name | MESA SPRING MENG
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Gender | Female
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Dates
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Enumeration Date | 04/24/2023
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 310 S SANSOME ST
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City | PHILIPSBURG
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State | MT
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Zip | 59858-7711
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Country | US
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Telephone | 406-589-3271
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Fax |
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Provider Business Mailing Address
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Address Line | 310 S SANSOME ST
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City | PHILIPSBURG
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State | MT
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Zip | 59858-7711
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Country | US
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Telephone |
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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 | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | 10219019-3102
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NUR-APRN-LIC-241286
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License Number State | MT
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