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General NPI Number Information
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NPI Number | 1700510005
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Entity Type | Individual
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Provider Name | MEGHAN LERI CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/12/2022
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1223 S GEAR AVE
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City | WEST BURLINGTON
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State | IA
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Zip | 52655-1682
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Country | US
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Telephone | 319-768-4380
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Fax |
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Provider Business Mailing Address
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Address Line | 711 S 21ST ST APT 514
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City | PITTSBURGH
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State | PA
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Zip | 15203-2484
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Country | US
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Telephone | 814-573-3957
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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 | A187366
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License Number State | IA
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