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General NPI Number Information
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NPI Number | 1255485330
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Entity Type | Individual
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Provider Name | JEROME MEYER MD
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 05/08/2014
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Provider Practice Location Address
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Address Line | 3 CAMBRIDGE RD
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City | MONSEY
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State | NY
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Zip | 10952-1306
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Country | US
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Telephone | 845-709-2438
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Fax | 845-354-3733
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Provider Business Mailing Address
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Address Line | 3 CAMBRIDGE RD
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City | MONSEY
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State | NY
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Zip | 10952-1306
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Country | US
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Telephone | 845-709-2438
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Fax | 845-354-3733
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 1120211
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License Number State | NY
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