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General NPI Number Information
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NPI Number | 1750417671
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Entity Type | Individual
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Provider Name | MEGAN GORDON-HALL RN,M.AC.
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 05/21/2019
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Provider Practice Location Address
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Address Line | 460 MAIN ST STE 106
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City | STEVENSVILLE
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State | MD
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Zip | 21666-4078
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Country | US
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Telephone | 410-570-6630
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Fax |
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Provider Business Mailing Address
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Address Line | 901 MARION QUIMBY DR
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City | STEVENSVILLE
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State | MD
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Zip | 21666-2537
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Country | US
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Telephone | 410-570-6630
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U01411
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License Number State | MD
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