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General NPI Number Information
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NPI Number | 1346833670
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Entity Type | Organization
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Legal Business Name | MEIKLE MOBILE MEDICAL SUPPORT SERVICES
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Dates
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Enumeration Date | 02/17/2021
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 225 LARCH AVE
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City | TEANECK
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State | NJ
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Zip | 07666-2345
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Country | US
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Telephone | 866-242-3826
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Fax |
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Provider Business Mailing Address
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Address Line | 225 LARCH AVE
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City | TEANECK
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State | NJ
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Zip | 07666-2345
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WINSTON MALCOLM MEIKLE SR.
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Credential | MSN MBA CCRN
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Telephone | 201-682-2292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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