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NPI 1528991692

NPI 1528991692 : DARYL MEYER : GREENVILLE, NC

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General NPI Number Information
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    NPI Number           |    1528991692
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    Entity Type          |    Individual 
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    Provider Name        |    DARYL MEYER
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/08/2026
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    Last Update Date     |    06/08/2026
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Provider Practice Location Address
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    Address Line         |    504 RED BANKS RD STE C 
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    City                 |    GREENVILLE
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    State                |    NC
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    Zip                  |    27858-5766
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    Country              |    US
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    Telephone            |    252-624-1241
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    Fax                  |    252-606-0634
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Provider Business Mailing Address
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    Address Line         |    3132 CHESSWOOD LN 
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    City                 |    WINTERVILLE
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    State                |    NC
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    Zip                  |    28590-7992
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    Country              |    US
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    Telephone            |    252-624-1241
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    Fax                  |    252-606-0634
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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        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    13770
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    License Number State |    NC
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