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General NPI Number Information
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NPI Number | 1316869118
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Entity Type | Individual
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Provider Name | MIKE D MEISNER
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Gender | Male
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 4352 W SYLVANIA AVE
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City | TOLEDO
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State | OH
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Zip | 43623-3463
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Country | US
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Telephone | 419-963-4855
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Fax |
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Provider Business Mailing Address
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Address Line | 3106 HEATHER DOWNS DR
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City | FINDLAY
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State | OH
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Zip | 45840-2900
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Country | US
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Telephone | 419-889-0704
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | PRS.006469
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License Number State | OH
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