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General NPI Number Information
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NPI Number | 1457553232
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Entity Type | Organization
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Legal Business Name | RON L. MEREDITH, PSY.D., P.C.
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 12/08/2015
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Provider Practice Location Address
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Address Line | 300 VESTAVIA PARKWAY SUITE 3200
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City | BIRMINGHAM
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State | AL
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Zip | 35216-3776
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Country | US
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Telephone | 205-716-6700
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Fax | 205-716-6701
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Provider Business Mailing Address
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Address Line | 300 VESTAVIA PARKWAY STE 3200
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City | BIRMINGHAM
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State | AL
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Zip | 35216-3776
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Country | US
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Telephone | 205-716-6700
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Fax | 205-716-6701
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RON L MEREDITH
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Credential | PSY.D.
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Telephone | 205-716-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 234
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License Number State | AL
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