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General NPI Number Information
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NPI Number | 1396896536
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Entity Type | Individual
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Provider Name | DAVID J MYERS DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2850 PRINCE ST SUITE 43
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City | CONWAY
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State | AR
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Zip | 72034-3636
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Country | US
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Telephone | 501-329-2848
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Fax |
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Provider Business Mailing Address
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Address Line | 2850 PRINCE ST SUITE 43
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City | CONWAY
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State | AR
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Zip | 72034-3636
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Country | US
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Telephone | 501-329-2848
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 3070
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License Number State | AR
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