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General NPI Number Information
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NPI Number | 1538597356
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Entity Type | Individual
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Provider Name | JASON DAVID MEADE DO
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Gender | Male
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Dates
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Enumeration Date | 10/15/2013
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 7050 N RECREATION AVE STE 105
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City | FRESNO
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State | CA
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Zip | 93720-8001
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Country | US
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Telephone | 559-321-3001
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Fax |
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Provider Business Mailing Address
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Address Line | 7050 N RECREATION AVE STE 105
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City | FRESNO
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State | CA
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Zip | 93720-8001
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Country | US
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Telephone | 559-321-2930
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Fax | 559-321-2940
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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 | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number | 20A15572
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License Number State | CA
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