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General NPI Number Information
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NPI Number | 1598714131
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Entity Type | Individual
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Provider Name | MORTON MELTZER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 504 OWEN DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3417
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Country | US
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Telephone | 910-221-3030
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 42510
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City | FAYETTEVILLE
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State | NC
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Zip | 28309-2510
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Country | US
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Telephone | 910-221-3030
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 6758593
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 15665
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 15665
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 15665
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 15665
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License Number State | NC
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