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General NPI Number Information
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NPI Number | 1952695116
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Entity Type | Individual
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Provider Name | MEGHAN L SPERRY CNM
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Gender | Female
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 17 CENTRAL ST UNIT 1
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City | RANDOLPH
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State | VT
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Zip | 05060-1039
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Country | US
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Telephone | 802-431-6030
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Fax | 803-735-1664
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Provider Business Mailing Address
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Address Line | 17 CENTRAL ST UNIT 1
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City | RANDOLPH
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State | VT
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Zip | 05060-1039
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Country | US
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Telephone | 802-431-6030
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Fax | 803-735-1664
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 101.0077848
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 064181-23
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 16.000565
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License Number State | CT
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