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General NPI Number Information
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NPI Number | 1093865487
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Entity Type | Individual
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Provider Name | BENJAMIN SANDERS MEYRAT DDS,
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 3606 MD LOVE FWY
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City | DALLAS
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State | TX
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Zip | 75224-4442
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Country | US
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Telephone | 214-371-4763
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 BOUNDBROOK LN
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City | IRVING
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State | TX
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Zip | 75060-5552
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Country | US
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Telephone | 828-485-7276
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 19344
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License Number State | TX
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