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General NPI Number Information
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NPI Number | 1972975183
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Entity Type | Individual
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Provider Name | MEGAN HOULAHAN AGNP
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Gender | Female
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 401 CORPORATE PARK DR
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City | CLAYTON
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State | MO
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Zip | 63105-4201
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Country | US
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Telephone | 636-288-4149
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 ZUMBEHL ROAD PMB 49
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City | ST. CHARLES
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State | MO
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Zip | 63303-2723
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Country | US
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Telephone | 636-288-4149
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 2015038454
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2015038454
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License Number State | MO
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