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General NPI Number Information
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NPI Number | 1164646725
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Entity Type | Organization
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Legal Business Name | WILLIAM A. MYERS II DMD LTD
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1191 PINEVIEW DR STE D
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City | MORGANTOWN
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State | WV
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Zip | 26505-2778
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Country | US
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Telephone | 304-599-2415
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Fax |
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Provider Business Mailing Address
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Address Line | 1191 PINEVIEW DR STE D
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City | MORGANTOWN
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State | WV
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Zip | 26505-2778
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Country | US
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Telephone | 304-599-2415
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM ANDREW MYERS II
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Credential | D.M.D.
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Telephone | 304-599-2415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 3254
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License Number State | WV
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