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General NPI Number Information
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NPI Number | 1740875459
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Entity Type | Individual
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Provider Name | MEGAN ELIZABETH HARRIS CARAVAS PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/04/2021
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 11601 IRON BRIDGE RD STE 117
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City | CHESTER
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State | VA
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Zip | 23831-1467
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Country | US
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Telephone | 804-717-5300
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Fax | 804-748-7269
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Provider Business Mailing Address
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Address Line | 13418 OLD GORDONSVILLE RD
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City | ORANGE
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State | VA
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Zip | 22960-2915
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Country | US
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Telephone | 540-718-7935
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0110-007667
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License Number State | VA
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