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General NPI Number Information
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NPI Number | 1487772315
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Entity Type | Individual
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Provider Name | DELMONT G. MYERS DMD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 885 NO, 50 E.
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City | BEAVER
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State | UT
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Zip | 84713
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Country | US
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Telephone | 435-438-5940
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Fax | 435-438-5918
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Provider Business Mailing Address
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Address Line | PO BOX 1486
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City | BEAVER
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State | UT
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Zip | 84713-1486
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Country | US
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Telephone | 435-438-5940
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Fax | 435-438-5918
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 265200-9922
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License Number State | UT
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