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General NPI Number Information
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NPI Number | 1326809955
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Entity Type | Individual
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Provider Name | DENNIS JOSEPH MEYER DDS
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Gender | Male
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 5124 REFORMATORY RD
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City | PENDLETON
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State | IN
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Zip | 46064-8767
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Country | US
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Telephone | 765-778-8011
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32
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City | PRINCETON
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State | IN
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Zip | 47670-0032
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Country | US
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Telephone | 812-887-6162
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 12008808A
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License Number State | IN
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