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General NPI Number Information
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NPI Number | 1750921094
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Entity Type | Individual
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Provider Name | MEGAN STINEFELT DNP
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Gender | Female
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Dates
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Enumeration Date | 01/15/2020
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 579 BALTIMORE ANNAPOLIS BLVD
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City | SEVERNA PARK
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State | MD
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Zip | 21146-3809
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Country | US
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Telephone | 410-975-5447
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 LATROBE DR
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City | ANNAPOLIS
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State | MD
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Zip | 21409-5130
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Country | US
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Telephone | 240-446-5860
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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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | R170745
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License Number State | MD
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