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General NPI Number Information
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NPI Number | 1831925601
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Entity Type | Individual
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Provider Name | MEGAN TAYLOR PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 20 YORK ST
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City | NEW HAVEN
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State | CT
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Zip | 06510-3220
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Country | US
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Telephone | 203-688-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 63 MARYLAND AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3115
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Country | US
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Telephone | 917-831-0626
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 23.006771
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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