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General NPI Number Information
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NPI Number | 1487062410
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Entity Type | Individual
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Provider Name | TRICIA MEYER P.T., D.P.T
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Gender | Female
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Dates
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Enumeration Date | 07/22/2014
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 3695 HOT SPRINGS BLVD
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City | LAS VEGAS
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State | NM
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Zip | 87701-9549
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Country | US
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Telephone | 505-454-2367
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Fax |
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Provider Business Mailing Address
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Address Line | 1841 E MORROW AVE
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City | KINGMAN
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State | AZ
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Zip | 86409-3026
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Country | US
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Telephone | 928-753-4263
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Fax | 928-753-1173
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 9982
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4483
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License Number State | NM
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