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General NPI Number Information
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NPI Number | 1316984354
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Entity Type | Individual
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Provider Name | RICHARD EUGENE MYERS MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 4833 E MEADOWS CT SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-8248
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Country | US
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Telephone | 616-288-3939
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Fax | 888-706-7646
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Provider Business Mailing Address
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Address Line | 4833 E MEADOWS CT SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-8248
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Country | US
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Telephone | 616-288-3939
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Fax | 888-706-7646
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 21601
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 89189
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D91772
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G53538
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | CP207138
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License Number State | OR
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301071100
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License Number State | MI
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