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General NPI Number Information
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NPI Number | 1336192970
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Entity Type | Individual
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Provider Name | DOUGLAS J MEEK MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 4411 THE 25 WAY NE SUITE 150
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-5857
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Country | US
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Telephone | 505-332-5800
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Fax | 505-332-6921
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Provider Business Mailing Address
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Address Line | 4411 THE 25 WAY NE SUITE 150
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-5857
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Country | US
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Telephone | 505-332-5800
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Fax | 505-332-6921
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 36113010
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2005004442
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 20020263
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License Number State | NM
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