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General NPI Number Information
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NPI Number | 1003436080
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Entity Type | Individual
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Provider Name | GIORGIO MEYERS PA-C
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Gender | Male
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Dates
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Enumeration Date | 04/20/2020
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 6699 W BOYNTON BEACH BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3527
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Country | US
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Telephone | 561-734-4210
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Fax |
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Provider Business Mailing Address
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Address Line | 5574 LAKE SHORE VILLAGE CIR
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City | LAKE WORTH
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State | FL
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Zip | 33463-7381
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Country | US
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Telephone | 954-601-6120
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9114882
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License Number State | FL
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