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General NPI Number Information
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NPI Number | 1194728188
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Entity Type | Individual
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Provider Name | RONALD AUSTIN MEEKER OD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 157 FRONT ST
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City | VESTAL
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State | NY
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Zip | 13850-1511
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Country | US
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Telephone | 607-754-4426
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Fax | 607-754-0464
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Provider Business Mailing Address
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Address Line | 157 FRONT ST
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City | VESTAL
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State | NY
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Zip | 13850-1511
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Country | US
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Telephone | 607-754-4426
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.0003908
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT-OPT-LIC-4597
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618003176
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV004544
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License Number State | NY
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