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General NPI Number Information
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NPI Number | 1568627529
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Entity Type | Individual
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Provider Name | TAMARA T MYERS M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 100 NORTH ACADEMY AVENUE, MC 21-70 GEISINGER MEDICAL CENTER, DEPARTMENT OF GENERAL SURGERY
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City | DANVILLE
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State | PA
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Zip | 17821
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Country | US
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Telephone | 413-219-7738
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Fax |
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Provider Business Mailing Address
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Address Line | 104 CHERRY ST APT A
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City | DANVILLE
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State | PA
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Zip | 17821-1130
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Country | US
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Telephone | 413-219-7738
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD205564
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD448861
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 56500
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License Number State | CT
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