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General NPI Number Information
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NPI Number | 1598158032
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Entity Type | Individual
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Provider Name | MR. JONATHAN MYERS
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Gender | Male
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Dates
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Enumeration Date | 03/09/2015
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 200 MEALER ST
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City | FRANKLIN
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State | TN
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Zip | 37067-5105
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Country | US
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Telephone | 615-414-1332
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Fax | 866-406-2606
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Provider Business Mailing Address
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Address Line | PO BOX 682727
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City | FRANKLIN
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State | TN
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Zip | 37068-2727
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Country | US
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Telephone | 615-414-1332
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Fax | 866-406-2606
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number |
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License Number State |
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