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General NPI Number Information
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NPI Number | 1427339886
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Entity Type | Organization
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Legal Business Name | MYERS MEDICAL, LLC
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Dates
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Enumeration Date | 08/30/2011
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Last Update Date | 08/30/2011
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Provider Practice Location Address
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Address Line | 16 BRIARCLIFF WAY
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City | POOLER
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State | GA
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Zip | 31322-9635
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Country | US
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Telephone | 912-224-8811
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Fax | 912-349-4872
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Provider Business Mailing Address
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Address Line | 16 BRIARCLIFF WAY
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City | POOLER
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State | GA
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Zip | 31322-9635
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Country | US
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Telephone | 912-224-8811
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Fax | 912-349-4872
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LARRY MYERS
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Credential |
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Telephone | 912-224-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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