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General NPI Number Information
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NPI Number | 1487734166
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Entity Type | Individual
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Provider Name | ADAM M MYERS CDM
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 12278 S LONE PEAK PKWY
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City | DRAPER
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State | UT
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Zip | 84020-6882
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Country | US
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Telephone | 888-500-4711
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Fax |
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Provider Business Mailing Address
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Address Line | 2604 FITZGERALD AVE
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City | MCKINNEY
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State | TX
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Zip | 75071-8492
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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 |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16953
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License Number State | LA
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