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General NPI Number Information
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NPI Number | 1417800012
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Entity Type | Organization
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Legal Business Name | MYERS CLINIC LLC
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 604 W 6TH ST STE A
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City | ROLLA
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State | MO
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Zip | 65401-2968
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Country | US
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Telephone | 316-648-7254
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Fax |
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Provider Business Mailing Address
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Address Line | 11476 SLATE CIR
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City | ROLLA
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State | MO
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Zip | 65401-8866
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Country | US
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Telephone | 316-648-7254
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Fax |
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Authorized Official
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Title or Position | OWNER AND PHYSICIAN
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Name | MYLHAN MYERS
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Credential | DO
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Telephone | 573-465-5372
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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 |
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License Number State |
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