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NPI 1205022522

NPI 1205022522 : JENNIFER G MEYER DDS : WHITEHALL, OH

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General NPI Number Information
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    NPI Number           |    1205022522
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER G MEYER DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/20/2007
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    Last Update Date     |    12/14/2009
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Provider Practice Location Address
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    Address Line         |    3646 E. MAIN ST. 
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    City                 |    WHITEHALL
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    State                |    OH
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    Zip                  |    43213
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    Country              |    US
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    Telephone            |    614-231-4800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3695 HENDERSON RD 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43220-2235
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    Country              |    US
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    Telephone            |    614-459-6779
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    30-022650
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    License Number State |    OH
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