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General NPI Number Information
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NPI Number | 1710305628
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Entity Type | Individual
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Provider Name | MEGHAN WOOSTER D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2014
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 1223 S GEAR AVE STE 202
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City | WEST BURLINGTON
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State | IA
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Zip | 52655-1685
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Country | US
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Telephone | 319-768-4320
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 S GEAR AVE
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City | WEST BURLINGTON
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State | IA
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Zip | 52655-1679
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Country | US
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Telephone | 319-768-1000
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | DO-04813
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 01078197A
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License Number State | IN
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Taxonomy #3
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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 |
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