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General NPI Number Information
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NPI Number | 1558321323
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Entity Type | Individual
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Provider Name | CHRISTINE MEASHAM M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 1618 S MILLENIUM WAY
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City | MERIDIAN
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State | ID
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Zip | 83642-6439
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Country | US
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Telephone | 208-377-1969
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Fax |
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Provider Business Mailing Address
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Address Line | 1618 S MILLENIUM WAY STE 100
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City | MERIDIAN
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State | ID
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Zip | 83642-6457
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Country | US
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Telephone | 208-884-3376
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Fax | 208-884-0858
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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 | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | M8951
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License Number State | ID
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