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General NPI Number Information
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NPI Number | 1477921492
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Entity Type | Organization
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Legal Business Name | MEYERS MEDICAL CLINIC
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Dates
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Enumeration Date | 09/08/2015
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Last Update Date | 09/11/2015
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Provider Practice Location Address
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Address Line | 3740 ATLANTIC AVE SUITE 100
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City | LONG BEACH
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State | CA
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Zip | 90807-3440
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Country | US
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Telephone | 562-490-3740
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Fax |
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Provider Business Mailing Address
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Address Line | 3740 ATLANTIC AVE SUITE 100
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City | LONG BEACH
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State | CA
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Zip | 90807-3440
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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 | OWNER
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Name | DEBORAH S MEYERS
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Credential | MD
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Telephone | 562-490-3740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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