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General NPI Number Information
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NPI Number | 1245398015
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Entity Type | Organization
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Legal Business Name | MICHAEL D. MYERS, M.D., INC.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 300 OCEANGATE STE 130
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City | LONG BEACH
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State | CA
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Zip | 90802-4328
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Country | US
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Telephone | 562-493-2266
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Fax |
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Provider Business Mailing Address
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Address Line | 16835 ALGONQUIN ST STE 300
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-3810
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Country | US
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Telephone | 562-493-2266
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL D MYERS
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Credential | M.D.
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Telephone | 562-493-2266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G37716
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License Number State | CA
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