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General NPI Number Information
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NPI Number | 1982976346
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Entity Type | Individual
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Provider Name | MEGAN ELIZABETH MARTIN FNP
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Gender | Female
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Dates
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Enumeration Date | 02/01/2012
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 1305 AIRPORT FWY STE 405
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City | BEDFORD
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State | TX
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Zip | 76021-6607
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Country | US
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Telephone | 855-893-5637
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Fax | 817-666-3873
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Provider Business Mailing Address
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Address Line | 2340 E TRINITY MILLS RD STE 250
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City | CARROLLTON
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State | TX
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Zip | 75006-1946
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Country | US
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Telephone | 972-417-8937
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | AP125262
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License Number State | TX
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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 | 294040
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP125262
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0101031
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21600
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP125262
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License Number State | TX
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