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General NPI Number Information
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NPI Number | 1609731819
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Entity Type | Organization
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Legal Business Name | MERIDIAN HEALTH POST ACUTE PLLC
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 950 W BETHANY DR STE 570
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City | ALLEN
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State | TX
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Zip | 75013-3845
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Country | US
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Telephone | 844-941-3087
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Fax | 844-593-1570
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Provider Business Mailing Address
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Address Line | 950 W BETHANY DR STE 570
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City | ALLEN
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State | TX
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Zip | 75013-3845
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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 | AUTHORIZED OFFICIAL
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Name | GRADY GOODWIN
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Credential | MD
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Telephone | 214-564-2510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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