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General NPI Number Information
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NPI Number | 1164010591
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Entity Type | Individual
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Provider Name | JOSEPH JOHN MEYER RPH
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Gender | Male
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Dates
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Enumeration Date | 12/31/2020
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Last Update Date | 12/31/2020
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Provider Practice Location Address
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Address Line | 3420 E MARKET ST
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City | LOGANSPORT
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State | IN
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Zip | 46947-2295
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Country | US
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Telephone | 574-753-2518
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Fax |
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Provider Business Mailing Address
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Address Line | 25118 COUNTY ROAD 20
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City | ELKHART
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State | IN
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Zip | 46517-3215
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Country | US
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Telephone | 574-596-2014
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26015381A
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License Number State | IN
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