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General NPI Number Information
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NPI Number | 1700362324
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Entity Type | Individual
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Provider Name | MEGAN C GRAFF PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 1000 N OAK AVE
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City | MARSHFIELD
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State | WI
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Zip | 54449
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Country | US
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Telephone | 715-387-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 1831 RED OAK DR
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City | PLOVER
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State | WI
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Zip | 54467-3049
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Country | US
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Telephone | 715-340-1031
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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