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General NPI Number Information
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NPI Number | 1861318016
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Entity Type | Individual
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Provider Name | MEGAN ANNE OTTO
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Gender | Female
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 400 N INGALLS ST
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City | ANN ARBOR
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State | MI
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Zip | 48109-2003
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Country | US
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Telephone | 734-763-7985
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Fax |
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Provider Business Mailing Address
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Address Line | 12626 43RD ST NE
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City | SAINT MICHAEL
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State | MN
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Zip | 55376-8432
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Country | US
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Telephone | 320-291-8039
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2514700
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License Number State | MN
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