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General NPI Number Information
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NPI Number | 1245612068
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Entity Type | Individual
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Provider Name | MICHAEL MEINHOLD DO
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Gender | Male
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Dates
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Enumeration Date | 06/29/2015
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 4150 NELSON RD BLDG B STE 6
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City | LAKE CHARLES
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State | LA
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Zip | 70605
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Country | US
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Telephone | 337-628-4755
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Fax |
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Provider Business Mailing Address
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Address Line | 4150 NELSON ROAD BLDG B, STE 6
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City | LAKE CHARLES
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State | LA
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Zip | 70605-0001
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Country | US
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Telephone | 337-628-4755
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Fax | 337-226-3904
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OS17076
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OT016556
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 312980
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 343401
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License Number State | LA
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