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General NPI Number Information
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NPI Number | 1396965455
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Entity Type | Organization
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Legal Business Name | ZACHARY D. MEYER
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Dates
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Enumeration Date | 04/30/2007
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | #1 WEST CENTRAL AVE
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City | OMAK
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State | WA
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Zip | 98841-1201
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Country | US
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Telephone | 509-422-1054
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1201
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City | OMAK
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State | WA
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Zip | 98841-1201
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Country | US
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Telephone | 509-422-1054
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Fax | 509-422-1054
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JODI MEYER
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Credential | D.C., B.SC.
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Telephone | 509-422-1054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | WA
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