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General NPI Number Information
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NPI Number | 1902438260
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Entity Type | Individual
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Provider Name | MEGAN KNIES PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 8926 77TH TER E UNIT 101
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-6417
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Country | US
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Telephone | 941-907-0222
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Fax | 941-907-0493
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Provider Business Mailing Address
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Address Line | 4919 MEMORIAL HWY STE 150
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City | TAMPA
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State | FL
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Zip | 33634-7516
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Country | US
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Telephone | 813-333-1512
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Fax | 813-333-1561
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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 | 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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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9113006
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License Number State | FL
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