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General NPI Number Information
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NPI Number | 1255257911
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Entity Type | Individual
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Provider Name | RAELYNN MARIE MEYER
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Gender | Female
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 4466 LYNNHAVEN AVE
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City | LOUISVILLE
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State | OH
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Zip | 44641-9513
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Country | US
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Telephone | 330-875-5060
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Fax |
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Provider Business Mailing Address
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Address Line | 16222 MOCK RD
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City | BERLIN CENTER
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State | OH
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Zip | 44401-9795
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Country | US
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Telephone | 330-508-8389
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA014118
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License Number State | OH
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