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General NPI Number Information
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NPI Number | 1851639017
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Entity Type | Individual
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Provider Name | MEAGAN ELIZABETH LEMASTER PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/23/2013
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1717 WILL O WISP DR STE 200
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3102
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Country | US
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Telephone | 757-481-4817
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Fax | 757-481-7138
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Provider Business Mailing Address
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Address Line | 10770 COLUMBIA PIKE STE 400
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City | SILVER SPRING
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State | MD
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Zip | 20901-4462
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Country | US
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Telephone | 215-589-9012
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Fax | 337-056-3018
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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 | PA9107070
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0110009272
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License Number State | VA
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