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General NPI Number Information
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NPI Number | 1578777694
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Entity Type | Organization
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Legal Business Name | MERIDIEN RESEARCH
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12144 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613-5575
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Country | US
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Telephone | 352-597-8839
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Fax | 352-597-7578
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Provider Business Mailing Address
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Address Line | 4751 66TH ST, N
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City | ST. PETERSBURG
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State | FL
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Zip | 33709
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Country | US
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Telephone | 727-347-8839
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Fax | 727-384-6440
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Authorized Official
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Title or Position | PRINCIPAL INVESTIGATOR
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Name | DR. MILDRED VERONICA FARMER
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Credential | M.D.
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Telephone | 727-347-8839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number | ME 48792
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License Number State | FL
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