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General NPI Number Information
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NPI Number | 1568704716
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Entity Type | Individual
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Provider Name | DAMION ANTHONY MYERS DDS
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Gender | Male
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Dates
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Enumeration Date | 03/25/2013
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Last Update Date | 08/18/2014
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Provider Practice Location Address
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Address Line | 1319 ERIE BLVD W
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City | ROME
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State | NY
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Zip | 13440-8305
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Country | US
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Telephone | 315-339-2444
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Fax |
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Provider Business Mailing Address
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Address Line | 3204 WICKHAM AVE
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City | BRONX
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State | NY
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Zip | 10469-3123
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 057544
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License Number State | NY
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