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General NPI Number Information
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NPI Number | 1033267281
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Entity Type | Organization
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Legal Business Name | DENESE MEYER SUPPORT SERVICES
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Dates
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Enumeration Date | 01/06/2007
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 7921 EARLY DR
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City | PENSACOLA
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State | FL
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Zip | 32534-4429
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Country | US
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Telephone | 850-478-6578
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Fax | 850-478-6578
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Provider Business Mailing Address
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Address Line | 7921 EARLY DR
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City | PENSACOLA
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State | FL
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Zip | 32534-4429
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Country | US
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Telephone | 850-478-6578
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Fax | 850-478-6578
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Authorized Official
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Title or Position | OWNER COACH
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Name | MRS. LOIS DENESE MEYER
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Credential |
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Telephone | 850-478-6578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 683464798
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 683464796
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License Number State | FL
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