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General NPI Number Information
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NPI Number | 1841966256
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Entity Type | Individual
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Provider Name | MEGAN CATHERINE MONGEAU FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 12530 LEBANON RD STE 207
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City | FRISCO
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State | TX
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Zip | 75035-2690
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Country | US
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Telephone | 817-668-1360
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Fax |
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Provider Business Mailing Address
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Address Line | 5016 GRAMPIAN WAY
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City | MCKINNEY
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State | TX
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Zip | 75071-6473
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Country | US
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Telephone | 214-448-5081
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1049991
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License Number State | TX
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