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General NPI Number Information
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NPI Number | 1760751887
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Entity Type | Individual
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Provider Name | MEGAN MCMUNIGLE PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 628 E 12TH ST
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City | WASHINGTON
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State | NC
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Zip | 27889-3409
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Country | US
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Telephone | 252-975-4319
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Fax | 252-975-4185
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Provider Business Mailing Address
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Address Line | PO BOX 751069
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City | CHARLOTTE
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State | NC
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Zip | 28275-1069
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-03206
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0010-03206
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License Number State | NC
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