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General NPI Number Information
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NPI Number | 1558868299
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Entity Type | Organization
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Legal Business Name | MYERS WELLNESS GROUP INC
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 04/26/2018
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Provider Practice Location Address
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Address Line | 1622 STANLEY RD STE 100
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City | GREENSBORO
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State | NC
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Zip | 27407-2740
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Country | US
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Telephone | 336-299-3230
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Fax | 336-299-2122
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Provider Business Mailing Address
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Address Line | 1622 STANLEY RD 100
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City | GREENSBORO
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State | NC
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Zip | 27407
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Country | US
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Telephone | 336-299-3230
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Fax | 336-299-2122
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. MICHAEL MYERS
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Credential | OWNER CEO
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Telephone | 954-295-8809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4843
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License Number State | FL
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