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General NPI Number Information
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NPI Number | 1285055350
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Entity Type | Organization
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Legal Business Name | COURTNEY S. MEYER, D.D.S., L.L.C.
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Dates
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Enumeration Date | 12/17/2013
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Last Update Date | 12/17/2013
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Provider Practice Location Address
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Address Line | 808 N 9TH ST
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City | ESTHERVILLE
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State | IA
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Zip | 51334-1534
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Country | US
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Telephone | 712-362-5454
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Fax | 712-362-4737
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Provider Business Mailing Address
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Address Line | 808 N 9TH ST
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City | ESTHERVILLE
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State | IA
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Zip | 51334-1534
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Country | US
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Telephone | 712-362-5454
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Fax | 712-362-4737
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Authorized Official
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Title or Position | OWNER OF DENTAL PRACTICE
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Name | DR. COURTNEY SARRETT MEYER
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Credential | D.D.S.
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Telephone | 712-362-5454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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