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General NPI Number Information
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NPI Number | 1265566491
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Entity Type | Individual
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Provider Name | RICHARD A MYERS JR. DPM
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Gender | Male
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 151 JEFF DAVIS BLVD STE H
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City | NATCHEZ
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State | MS
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Zip | 39120-5140
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Country | US
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Telephone | 601-446-9850
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Fax | 601-446-9833
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Provider Business Mailing Address
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Address Line | P.O. BOX 18195
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City | NATCHEZ
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State | MS
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Zip | 39122
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Country | US
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Telephone | 601-446-9850
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Fax | 601-446-9833
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 80098
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License Number State | MS
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