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General NPI Number Information
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NPI Number | 1225235633
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Entity Type | Individual
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Provider Name | CATHERINE MEYERLE MD
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Gender | Female
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 07/17/2020
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Provider Practice Location Address
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Address Line | 35 EASTWARD LN STE A
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City | ELLSWORTH
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State | ME
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Zip | 04605-1744
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Country | US
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Telephone | 207-669-4390
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Fax | 207-669-4363
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Provider Business Mailing Address
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Address Line | 220 GLENN RD
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City | ARDMORE
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State | PA
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Zip | 19003-2512
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Country | US
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Telephone | 202-491-7686
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D0064696
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License Number State | MD
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