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General NPI Number Information
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NPI Number | 1427938638
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Entity Type | Individual
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Provider Name | SCOTT BRAD LEE MEYER JR. PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 5407 OVERSEAS HWY
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City | MARATHON
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State | FL
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Zip | 33050-2710
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Country | US
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Telephone | 305-289-3192
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Fax |
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Provider Business Mailing Address
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Address Line | 1360 RICHMOND DR
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City | MELBOURNE
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State | FL
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Zip | 32935-5326
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Country | US
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Telephone | 321-507-3496
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | FL69097
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License Number State | FL
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