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General NPI Number Information
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NPI Number | 1396701090
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Entity Type | Individual
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Provider Name | MY N MYERS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/22/2006
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 6901 SIMMONS LOOP FL 4
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City | RIVERVIEW
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State | FL
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Zip | 33578-9498
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Country | US
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Telephone | 813-302-8388
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Fax |
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Provider Business Mailing Address
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Address Line | 2995 DREW ST FL 3
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City | CLEARWATER
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State | FL
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Zip | 33759-3012
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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 |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME88661
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 082043
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2010002243
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04-34089
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License Number State | KS
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