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General NPI Number Information
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NPI Number | 1952975799
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Entity Type | Individual
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Provider Name | MEGAN DUFFY PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/17/2021
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 1366 W 7TH ST
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City | SAN PEDRO
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State | CA
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Zip | 90732-3517
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Country | US
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Telephone | 310-548-0201
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Fax |
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Provider Business Mailing Address
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Address Line | 2129 ATWOOD WAY
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City | TORRANCE
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State | CA
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Zip | 90503-7365
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Country | US
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Telephone | 424-731-0626
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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 | 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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