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Individual
MS. MEGAN E BOGART
Active
Individual
MS. MEGAN E BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCH-MH NP -C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
005001131
NC
363LF0000X
Family Nurse Practitioner
005001131
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0050-01131
NC
Other
Enumeration date
07/11/2006
Last updated
07/10/2015
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