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General NPI Number Information
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NPI Number | 1528391604
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Entity Type | Organization
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Legal Business Name | MEIAN, LLC
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Dates
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Enumeration Date | 09/08/2009
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 805 DOUGLAS AVE STE 161
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2017
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Country | US
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Telephone | 407-951-7841
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Fax | 407-951-7843
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Provider Business Mailing Address
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Address Line | 805 DOUGLAS AVE STE 161
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2017
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Country | US
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Telephone | 407-951-7841
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Fax | 407-951-7843
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. FEIFEI LIU
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Credential | AP
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Telephone | 407-951-7841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | AP2719
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License Number State | FL
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