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General NPI Number Information
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NPI Number | 1992354476
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Entity Type | Individual
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Provider Name | MEGAN JEAN ZAMORA
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Gender | Female
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Dates
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Enumeration Date | 09/08/2019
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 5037 HALIFAX RD STE U4
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City | HALIFAX
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State | VA
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Zip | 24558-3243
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Country | US
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Telephone | 434-303-2300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 253
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City | HALIFAX
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State | VA
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Zip | 24558-0253
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Country | US
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Telephone | 434-303-2300
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024178166
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License Number State | VA
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