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Individual
MEGAN MCCANN
Active
Individual
MEGAN MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058310
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15706585
CAQH
—
Enumeration date
06/21/2016
Last updated
09/22/2022
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