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NPI 1093775116

NPI 1093775116 : DALE ROBERT MEYER MD : SLINGERLANDS, NY

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General NPI Number Information
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    NPI Number           |    1093775116
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    Entity Type          |    Individual 
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    Provider Name        |    DALE ROBERT MEYER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/24/2006
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    Last Update Date     |    10/24/2007
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Provider Practice Location Address
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    Address Line         |    1220 NEW SCOTLAND RD SUITE 302
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    City                 |    SLINGERLANDS
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    State                |    NY
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    Zip                  |    12159-9208
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    Country              |    US
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    Telephone            |    518-533-6540
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    Fax                  |    518-533-6542
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Provider Business Mailing Address
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    Address Line         |    PO BOX 700 
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    City                 |    SLINGERLANDS
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    State                |    NY
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    Zip                  |    12159-0700
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    Country              |    US
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    Telephone            |    518-533-6540
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    Fax                  |    518-533-6542
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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        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    182237
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    License Number State |    NY
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