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General NPI Number Information
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NPI Number | 1164360012
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Entity Type | Individual
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Provider Name | BROWER LEE MYERS
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Gender | Male
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 1200 N STATE ST STE 500
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City | JACKSON
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State | MS
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Zip | 39202-2027
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Country | US
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Telephone | 601-352-2273
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Fax | 601-353-4414
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Provider Business Mailing Address
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Address Line | 331 BARROW ST
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City | PEARL
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State | MS
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Zip | 39208-5809
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Country | US
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Telephone | 601-624-7991
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 32314973
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License Number State | MS
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