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General NPI Number Information
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NPI Number | 1821637315
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Entity Type | Individual
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Provider Name | DR. MEGHANN ASHLEY TRAMMEL
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Gender | Female
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Dates
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Enumeration Date | 12/31/2019
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 48 PLAZA NINETY-FOUR DR.
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City | ST. PETERS
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State | MO
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Zip | 63376-6337
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Country | US
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Telephone | 636-928-1625
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Fax |
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Provider Business Mailing Address
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Address Line | 1519 TOWER GROVE AVE APT 2714
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City | SAINT LOUIS
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State | MO
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Zip | 63110-2279
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Country | US
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Telephone | 618-534-7121
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2019030640
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License Number State | MO
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