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General NPI Number Information
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NPI Number | 1982908570
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Entity Type | Individual
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Provider Name | DR. MEGHAN AM BLATT
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Gender | Female
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Dates
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Enumeration Date | 12/22/2010
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Last Update Date | 12/22/2010
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Provider Practice Location Address
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Address Line | 9351 ATLEE RD
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-2540
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Country | US
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Telephone | 804-569-8241
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Fax | 804-569-8243
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Provider Business Mailing Address
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Address Line | 9016 BREVET LN
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-6591
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Country | US
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Telephone | 804-513-3028
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Fax | 804-569-8243
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202207127
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License Number State | VA
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