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General NPI Number Information
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NPI Number | 1295950293
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Entity Type | Organization
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Legal Business Name | WILLIAM R. MEEKER, M.D., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4153 1ST AVE
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City | SAN DIEGO
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State | CA
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Zip | 92103-2047
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Country | US
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Telephone | 619-683-7671
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Fax | 877-471-6899
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Provider Business Mailing Address
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Address Line | 4153 1ST AVE
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City | SAN DIEGO
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State | CA
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Zip | 92103-2047
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Country | US
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Telephone | 619-573-6803
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Fax | 619-298-7267
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM MEEKER
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Credential | M.D.
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Telephone | 619-573-6803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | G87425
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License Number State | CA
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