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General NPI Number Information
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NPI Number | 1386811784
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Entity Type | Organization
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Legal Business Name | JAMIE F MEYERS, DDS, MD, PA
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 1721 S SYCAMORE ST
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City | PALESTINE
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State | TX
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Zip | 75801-6921
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Country | US
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Telephone | 903-723-5111
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Fax | 903-723-0328
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Provider Business Mailing Address
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Address Line | 1721 S SYCAMORE ST
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City | PALESTINE
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State | TX
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Zip | 75801-6921
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Country | US
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Telephone | 903-723-5111
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Fax | 903-723-0328
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. JAMIE F MEYERS
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Credential | DDS, MD
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Telephone | 903-723-5111
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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 | J3856
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License Number State | TX
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