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General NPI Number Information
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NPI Number | 1023249992
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Entity Type | Organization
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Legal Business Name | JEB S. MIERS M.D., P.A
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 07/27/2009
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Provider Practice Location Address
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Address Line | 8210 WALNUT HILL LANE 812
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City | DALLAS
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State | TX
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Zip | 75231
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Country | US
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Telephone | 214-696-1118
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Fax | 214-696-4447
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Provider Business Mailing Address
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Address Line | 8210 WALNUT HILL LANE 812
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City | DALLAS
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State | TX
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Zip | 75231
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Country | US
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Telephone | 214-696-1118
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Fax | 214-696-4447
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Authorized Official
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Title or Position | OWNER, PHYSICIAN
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Name | DR. JEB STUART MIERS
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Credential | M.D.
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Telephone | 214-696-1118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | E8725
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License Number State | TX
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