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General NPI Number Information
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NPI Number | 1205236940
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Entity Type | Organization
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Legal Business Name | MEYER ORTHODONTICS, PC
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Dates
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Enumeration Date | 08/31/2014
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Last Update Date | 08/31/2014
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Provider Practice Location Address
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Address Line | 237 LEXINGTON ST SITE 202
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City | WOBURN
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State | MA
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Zip | 01801-5984
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Country | US
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Telephone | 781-305-3275
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Fax | 781-537-6190
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Provider Business Mailing Address
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Address Line | 237 LEXINGTON ST SITE 202
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City | WOBURN
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State | MA
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Zip | 01801-5984
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Country | US
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Telephone | 781-305-3275
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Fax | 781-537-6190
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTIAN JOSEF MEYER
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Credential | DMD, DMSC
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Telephone | 781-305-3275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DN18534
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License Number State | MA
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