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General NPI Number Information
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NPI Number | 1457589921
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Entity Type | Individual
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Provider Name | LAWRENCE MEINER PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 8404 GRAND MESSINA CIR
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-7104
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Country | US
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Telephone | 917-567-2896
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Fax |
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Provider Business Mailing Address
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Address Line | 8404 GRAND MESSINA CIR
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-7104
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Country | US
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Telephone | 917-567-2896
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 004301
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 9111483
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License Number State | FL
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