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General NPI Number Information
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NPI Number | 1457175002
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Entity Type | Individual
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Provider Name | CARRIE MEYER CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 418 CLOVERLEAF RD
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-9320
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Country | US
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Telephone | 717-653-1467
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Fax |
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Provider Business Mailing Address
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Address Line | 134 S COLEBROOK RD
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City | MANHEIM
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State | PA
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Zip | 17545-9161
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Country | US
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Telephone | 717-725-0588
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | SP030314
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License Number State | PA
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