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General NPI Number Information
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NPI Number | 1245692482
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Entity Type | Organization
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Legal Business Name | GENE E. MYERS ENTERPRISES, INC
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Dates
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Enumeration Date | 03/27/2016
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Last Update Date | 03/28/2016
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Provider Practice Location Address
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Address Line | 2540 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34239-4501
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Country | US
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Telephone | 941-921-7137
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Fax | 941-921-3014
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Provider Business Mailing Address
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Address Line | 1310 S LAKE SHORE DR
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City | SARASOTA
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State | FL
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Zip | 34231-3404
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Country | US
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Telephone | 941-921-7137
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Fax | 941-921-3014
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Authorized Official
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Title or Position | OWNER
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Name | DR. GENE MYERS
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Credential | MD
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Telephone | 941-921-7137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME30363
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License Number State | FL
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