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General NPI Number Information
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NPI Number | 1104194448
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Entity Type | Organization
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Legal Business Name | SERVICES BY MEYERS INC.
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 793 CROSSWIND WAY
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City | PORT ORANGE
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State | FL
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Zip | 32128-6059
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Country | US
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Telephone | 386-767-6802
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Fax | 386-492-2949
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Provider Business Mailing Address
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Address Line | 793 CROSSWIND WAY
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City | PORT ORANGE
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State | FL
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Zip | 32128-6059
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Country | US
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Telephone | 386-767-6802
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Fax | 386-492-2949
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROBERT D MEYERS
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Credential | ARNP
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Telephone | 386-767-6802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP 2732292
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License Number State | FL
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