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General NPI Number Information
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NPI Number | 1922411131
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Entity Type | Individual
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Provider Name | MEGAN STONE
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Gender | Female
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 07/07/2014
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Provider Practice Location Address
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Address Line | 3950 AUSTELL RD
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City | AUSTELL
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State | GA
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Zip | 30106-1121
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Country | US
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Telephone | 470-732-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1635 OLD 41 HWY NW STE 112-328
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City | KENNESAW
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State | GA
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Zip | 30152-4480
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Country | US
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Telephone | 770-732-3664
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Fax | 678-945-8692
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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 | 235507
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License Number State | GA
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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 | RN235507
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License Number State | GA
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