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General NPI Number Information
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NPI Number | 1710137096
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Entity Type | Individual
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Provider Name | MEGAN ELIZABETH ESHBAUGH D.O.
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Gender | Female
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 05/06/2016
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Provider Practice Location Address
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Address Line | 1033 CHAMPIONS WAY STE 100
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City | SUFFOLK
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State | VA
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Zip | 23435-3777
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Country | US
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Telephone | 757-483-2786
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Fax | 757-483-6325
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Provider Business Mailing Address
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Address Line | 1033 CHAMPIONS WAY STE 100
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City | SUFFOLK
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State | VA
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Zip | 23435-3777
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Country | US
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Telephone | 757-483-2786
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Fax | 757-483-6325
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 0102203395
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License Number State | VA
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