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General NPI Number Information
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NPI Number | 1518046804
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Entity Type | Organization
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Legal Business Name | PETER F MEYER DDS PA
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 382 STATE STREET
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City | ELLSWORTH
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State | ME
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Zip | 04605
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Country | US
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Telephone | 207-667-4632
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Fax | 207-667-4070
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Provider Business Mailing Address
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Address Line | PO BOX 709
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City | ELLSWORTH
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State | ME
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Zip | 04605
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Country | US
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Telephone | 207-667-4632
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Fax | 207-667-4070
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Authorized Official
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Title or Position | OWNER
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Name | PETER F MEYER
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Credential | DDS
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Telephone | 207-667-4632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2585
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License Number State | ME
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