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General NPI Number Information
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NPI Number | 1346287828
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Entity Type | Individual
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Provider Name | JAY M MEYTHALER MD JD
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Gender | Male
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 900 OAK MOUNTAIN COMMONS LANE
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City | PELHAM
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State | AL
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Zip | 35124
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Country | US
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Telephone | 205-216-7900
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Fax | 205-216-7990
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Provider Business Mailing Address
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Address Line | 1811 CATALA RD
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City | VESTAVIA HILLS
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State | AL
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Zip | 35216-1707
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Country | US
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Telephone | 205-822-5993
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Fax | 205-216-7990
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 4301083153
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 16224
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License Number State | AL
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