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General NPI Number Information
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NPI Number | 1558560383
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Entity Type | Organization
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Legal Business Name | ALVIN H. MEYER, JR., M.D., P.C.
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 5651 FRIST BLVD STE 509
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City | HERMITAGE
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State | TN
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Zip | 37076-2054
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Country | US
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Telephone | 615-889-5171
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Fax | 615-889-5172
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Provider Business Mailing Address
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Address Line | 5651 FRIST BLVD STE 509
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City | HERMITAGE
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State | TN
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Zip | 37076-2054
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Country | US
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Telephone | 615-889-5171
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Fax | 615-889-5172
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALVIN H MEYER JR.
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Credential | M.D.
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Telephone | 615-889-5171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD8174
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License Number State | TN
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