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General NPI Number Information
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NPI Number | 1124613609
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Entity Type | Individual
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Provider Name | ERIC JAMES MYERS DPT
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Gender | Male
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Dates
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Enumeration Date | 03/05/2021
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Last Update Date | 03/05/2021
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Provider Practice Location Address
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Address Line | 1200 WELSH RD
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City | NORTH WALES
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State | PA
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Zip | 19454-3771
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Country | US
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Telephone | 215-361-3622
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Fax | 215-361-8580
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Provider Business Mailing Address
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Address Line | 312 UPPER CHURCH RD
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City | PERKASIE
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State | PA
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Zip | 18944-2945
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Country | US
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Telephone | 267-614-6087
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT029370
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License Number State | PA
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