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General NPI Number Information
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NPI Number | 1407910284
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Entity Type | Individual
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Provider Name | WOODROW AUGUSTUS MYERS JR. MD
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Gender | Male
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 N ILLINOIS ST 2101
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1935
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Country | US
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Telephone | 317-685-9923
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Fax | 317-685-9924
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Provider Business Mailing Address
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Address Line | 1 N ILLINOIS ST 2101
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1935
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Country | US
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Telephone | 317-685-9923
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Fax | 317-685-9924
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G36842
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License Number State | CA
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