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General NPI Number Information
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NPI Number | 1851018089
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Entity Type | Individual
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Provider Name | MEGAN PEPPLE APRN
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Gender | Female
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 5978 POWERS AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2210
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Country | US
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Telephone | 904-208-5753
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Fax |
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Provider Business Mailing Address
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Address Line | 5978 POWERS AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2210
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Country | US
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Telephone |
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Fax | 904-399-2525
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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 | 11021912
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License Number State | FL
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