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General NPI Number Information
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NPI Number | 1811324031
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Entity Type | Individual
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Provider Name | MEGAN R PERRY P.A.
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Gender | Female
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 3243 E MURDOCK ST SUITE 500
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City | WICHITA
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State | KS
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Zip | 67208-3052
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Country | US
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Telephone | 316-962-2080
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Fax | 316-962-2079
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Provider Business Mailing Address
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Address Line | PO BOX 47490
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City | WICHITA
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State | KS
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Zip | 67201-7490
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Country | US
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Telephone | 316-962-3150
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Fax | 316-962-7334
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 15-01648
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License Number State | KS
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