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NPI 1598970311

NPI 1598970311 : JOSEPH A. MEACHAM, M.D., P.A. : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1598970311
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOSEPH A. MEACHAM, M.D., P.A. 
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Dates
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    Enumeration Date     |    05/14/2007
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    Last Update Date     |    06/23/2008
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Provider Practice Location Address
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    Address Line         |    9330 POPPY DR SUITE 506
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75218-4621
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    Country              |    US
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    Telephone            |    214-320-3800
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    Fax                  |    214-320-4968
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Provider Business Mailing Address
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    Address Line         |    9330 POPPY DR SUITE 506
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75218-4621
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    Country              |    US
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    Telephone            |    214-320-3800
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    Fax                  |    214-320-4968
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     JOSEPH A MEACHAM 
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    Credential           |    
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    Telephone            |    214-320-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    J3159
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    License Number State |    TX
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