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General NPI Number Information
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NPI Number | 1811761463
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Entity Type | Individual
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Provider Name | MEGAN L DURGIN PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 401 GRESHAM DR
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City | NORFOLK
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State | VA
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Zip | 23507
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Country | US
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Telephone | 757-668-4397
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Fax | 757-668-8870
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Provider Business Mailing Address
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Address Line | 1120 PRISCILLA LN
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City | CHESAPEAKE
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State | VA
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Zip | 23322-3747
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Country | US
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Telephone | 434-841-1986
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024188588
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License Number State | VA
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