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General NPI Number Information
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NPI Number | 1003860545
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Entity Type | Individual
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Provider Name | STERLING A MEZA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 815 E PARRISH AVE SUITE 460
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City | OWENSBORO
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State | KY
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Zip | 42303-3222
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Country | US
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Telephone | 270-684-5005
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Fax | 270-926-4432
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Provider Business Mailing Address
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Address Line | 7479 HIGHWAY 762
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City | PHILPOT
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State | KY
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Zip | 42366-9330
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Country | US
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Telephone | 270-684-5005
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Fax | 270-926-4432
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 38019
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License Number State | KY
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