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General NPI Number Information
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NPI Number | 1447309133
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Entity Type | Individual
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Provider Name | MARTIN BARRY MEYER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 220 S MAIN ST SUITE 304
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City | BUTLER
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State | PA
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Zip | 16001-5987
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Country | US
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Telephone | 724-287-5604
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Fax | 724-287-3779
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Provider Business Mailing Address
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Address Line | 185 FORRESTER RD
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City | SLIPPERY ROCK
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State | PA
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Zip | 16057-2515
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Country | US
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Telephone | 724-794-1954
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Fax | 724-794-1905
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS006079L
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License Number State | PA
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