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General NPI Number Information
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NPI Number | 1700511508
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Entity Type | Individual
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Provider Name | MEGHAN KRISTINE ROYER NP
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Gender | Female
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Dates
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Enumeration Date | 07/18/2022
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 1760 E KEN PRATT BLVD STE 205
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City | LONGMONT
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State | CO
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Zip | 80504-5311
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Country | US
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Telephone | 720-718-5280
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Fax | 720-718-5989
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Provider Business Mailing Address
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Address Line | 1760 E KEN PRATT BLVD STE 205
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City | LONGMONT
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State | CO
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Zip | 80504-5311
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Country | US
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Telephone | 720-718-5280
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Fax | 720-718-5989
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.09977711-NP
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License Number State | CO
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