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General NPI Number Information
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NPI Number | 1730642463
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Entity Type | Individual
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Provider Name | MEGAN MCGUINNESS MASTEN MD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 887 CONGRESS ST STE 200
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City | PORTLAND
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State | ME
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Zip | 04102-3166
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Country | US
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Telephone | 207-771-5549
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Fax | 207-771-7834
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Provider Business Mailing Address
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Address Line | 887 CONGRESS ST STE 200
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City | PORTLAND
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State | ME
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Zip | 04102-3166
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Country | US
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Telephone | 207-771-5549
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Fax | 207-771-7834
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD29683
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DR.0070498
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207VC0300X
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Taxonomy Name | Complex Family Planning Physician
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License Number | MD29683
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License Number State | ME
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