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General NPI Number Information
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NPI Number | 1710439872
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Entity Type | Individual
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Provider Name | MEAGAN ELIZABETH NILES RN
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Gender | Female
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 15802 N PARKVIEW PL
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City | SURPRISE
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State | AZ
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Zip | 85374-7466
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Country | US
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Telephone | 623-523-8690
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Fax | 623-523-8661
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Provider Business Mailing Address
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Address Line | 15 4TH ST
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City | MALONE
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State | NY
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Zip | 12953-1340
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Country | US
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Telephone | 518-481-8160
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Fax | 518-481-8161
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 326049-1
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License Number State | NY
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