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General NPI Number Information
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NPI Number | 1447739404
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Entity Type | Individual
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Provider Name | JOHN MEEK DDS
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Gender | Male
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Dates
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Enumeration Date | 08/10/2018
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 301 E HWY 377 STE 100
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City | GRANBURY
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State | TX
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Zip | 76048-1201
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Country | US
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Telephone | 817-579-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 9016 COURTENAY ST APT 5310
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-0925
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 34504
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License Number State | TX
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