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General NPI Number Information
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NPI Number | 1467338038
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Entity Type | Organization
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Legal Business Name | MYERS MED HOLDINGS, LLC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 730 E TAFT AVE
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City | SAPULPA
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State | OK
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Zip | 74066-5766
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Country | US
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Telephone | 918-224-7305
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Fax |
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Provider Business Mailing Address
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Address Line | 730 E TAFT AVE
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City | SAPULPA
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State | OK
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Zip | 74066-5766
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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 | AUTHORIZED OFFICIAL
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Name | BRETT MYERS
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Credential |
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Telephone | 918-527-7065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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