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General NPI Number Information
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NPI Number | 1184691404
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Entity Type | Individual
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Provider Name | JANICE LEE MEYER PT
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Gender | Female
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Dates
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Enumeration Date | 03/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1529 FAIR RD
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City | SIDNEY
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State | OH
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Zip | 45365-8193
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Country | US
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Telephone | 937-492-2130
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Fax | 937-492-1306
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Provider Business Mailing Address
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Address Line | 824 S WALNUT ST
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City | URBANA
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State | OH
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Zip | 43078-2522
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Country | US
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Telephone | 937-484-3263
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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 | PT 9860
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License Number State | OH
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