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General NPI Number Information
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NPI Number | 1346361664
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Entity Type | Organization
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Legal Business Name | DANIEL J MEADORS DDS INC
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 2201 N GRAND
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City | AMARILLO
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State | TX
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Zip | 79107
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Country | US
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Telephone | 806-381-1890
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Fax | 806-381-0130
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Provider Business Mailing Address
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Address Line | 2201 N GRAND
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City | AMARILLO
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State | TX
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Zip | 79107
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Country | US
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Telephone | 806-381-1890
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Fax | 806-381-0130
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. DANIEL J MEADOWS
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Credential | DDS INC
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Telephone | 806-381-1890
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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 | 11755
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License Number State | TX
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