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General NPI Number Information
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NPI Number | 1720571987
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Entity Type | Individual
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Provider Name | MEAGAN LEE BRADY DNP, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 6335 HOSPITAL PKWY STE 200
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City | JOHNS CREEK
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State | GA
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Zip | 30097-1550
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Country | US
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Telephone | 404-778-4892
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Fax | 404-778-8241
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Provider Business Mailing Address
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Address Line | 605 MARTHA WAY
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City | ALPHARETTA
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State | GA
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Zip | 30005-5507
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Country | US
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Telephone | 440-773-5812
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN276875
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License Number State | GA
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