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General NPI Number Information
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NPI Number | 1477964005
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Entity Type | Individual
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Provider Name | MICHAEL MEYER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2014
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 5060 TENNYSON PKWY STE 100
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City | PLANO
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State | TX
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Zip | 75024-4168
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Country | US
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Telephone | 972-505-2551
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Fax |
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Provider Business Mailing Address
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Address Line | 9900 N CENTRAL EXPY STE 500
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City | DALLAS
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State | TX
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Zip | 75231-0928
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Country | US
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Telephone | 214-987-3376
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Fax | 469-532-0273
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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 | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | R5778
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | R5778
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License Number State | TX
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