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General NPI Number Information
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NPI Number | 1821312489
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Entity Type | Individual
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Provider Name | MEGAN JARDINA ANDERSON APN
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Gender | Female
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 12/16/2021
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Provider Practice Location Address
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Address Line | 242 LINDEN ST STE 222
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City | FORT COLLINS
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State | CO
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Zip | 80524-2424
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Country | US
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Telephone | 773-383-2392
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Fax |
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Provider Business Mailing Address
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Address Line | 242 LINDEN ST STE 222
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City | FORT COLLINS
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State | CO
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Zip | 80524-2424
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Country | US
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Telephone | 773-383-2392
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 209007768
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 95018249
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 10285
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License Number State | CO
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