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General NPI Number Information
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NPI Number | 1750993911
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Entity Type | Individual
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Provider Name | MEGAN ELIZABETH ABDO DDS
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Gender | Female
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 3628 MERIDIAN ST STE 1B
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City | BELLINGHAM
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State | WA
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Zip | 98225-1735
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Country | US
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Telephone | 360-676-9050
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Fax | 360-676-1593
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Provider Business Mailing Address
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Address Line | 28920 3RD AVE NE
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City | STANWOOD
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State | WA
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Zip | 98292-9439
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Country | US
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Telephone | 360-333-8876
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE61084816
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License Number State | WA
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Legacy Identifiers
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Identifier #1
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Identifier Code | 1558300798
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Identifier Type | OTHER
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Identifier State | WA
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Identifier Issuer | NPI
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Identifier #2
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Identifier Code | 1962513382
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Identifier Type | OTHER
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Identifier State | WA
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Identifier Issuer | NPI
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Identifier #3
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Identifier Code | 1174791842
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Identifier Type | OTHER
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Identifier State | WA
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Identifier Issuer | NPI
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 1174791842
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Identifier Type | OTHER
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Identifier State | WA
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Identifier Issuer | NPI
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Identifier #2
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Identifier Code | 1558300798
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Identifier Type | OTHER
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Identifier State | WA
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Identifier Issuer | NPI
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Identifier #3
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Identifier Code | 1962513382
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Identifier Type | OTHER
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Identifier State | WA
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Identifier Issuer | NPI
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