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General NPI Number Information
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NPI Number | 1184913477
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Entity Type | Individual
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Provider Name | MR. ANASTACIO S MEZA
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Gender | Male
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 8433 HARRION DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46226-2034
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Country | US
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Telephone | 317-363-6827
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Fax | 317-641-3913
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Provider Business Mailing Address
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Address Line | PO BOX 50527
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-0527
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Country | US
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Telephone | 317-363-6827
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Fax | 317-641-3913
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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