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General NPI Number Information
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NPI Number | 1922417161
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Entity Type | Individual
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Provider Name | MEGAN LEE KALISZEWSKI FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 100 W WEST MAPLE RD
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City | WALLED LAKE
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State | MI
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Zip | 48390-3402
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Country | US
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Telephone | 866-389-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 100 W WEST MAPLE RD
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City | WALLED LAKE
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State | MI
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Zip | 48390-3402
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Country | US
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Telephone | 866-389-2727
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209016188
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704265493
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License Number State | MI
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