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General NPI Number Information
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NPI Number | 1912442534
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Entity Type | Individual
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Provider Name | MEGAN O'LOUGHLIN CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/05/2017
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Last Update Date | 03/21/2018
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Provider Practice Location Address
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Address Line | 3308 PRESTON RD STE 350-283
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City | PLANO
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State | TX
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Zip | 75093-7453
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Country | US
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Telephone | 612-867-4211
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Fax |
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Provider Business Mailing Address
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Address Line | 2613 TIMBERLEAF CIR
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City | CARROLLTON
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State | TX
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Zip | 75006-2101
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Country | US
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Telephone | 612-867-4211
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 805053
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP133243
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License Number State | TX
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