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General NPI Number Information
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NPI Number | 1376603621
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Entity Type | Individual
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Provider Name | ALGIS ALBERT MEILUS SPECIALIST
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Gender | Male
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Dates
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Enumeration Date | 12/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8301 49TH ST
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City | PINELLAS PARK
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State | FL
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Zip | 33781-1540
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Country | US
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Telephone | 727-547-1233
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Fax |
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Provider Business Mailing Address
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Address Line | 331 N TESSIER DR
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City | ST PETE BEACH
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State | FL
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Zip | 33706-2815
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Country | US
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Telephone | 727-360-3913
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA-0009728
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License Number State | FL
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