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General NPI Number Information
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NPI Number | 1740629971
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Entity Type | Individual
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Provider Name | MEGHAN MCINTOSH HEBERTON M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 5939 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75390-4000
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Country | US
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Telephone | 214-645-2400
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Fax | 214-645-0078
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Provider Business Mailing Address
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Address Line | 5323 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75390-7201
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Country | US
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Telephone | 713-792-2991
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Fax | 214-645-0078
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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 | 207NI0002X
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Taxonomy Name | Clinical & Laboratory Dermatological Immunology Physician
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License Number | S0296
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | S0296
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2013019939
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License Number State | MO
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