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General NPI Number Information
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NPI Number | 1609812189
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Entity Type | Individual
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Provider Name | MICHAEL RAYMOND MEEKS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | 9100 HIGHWAY 14
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City | GRAY COURT
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State | SC
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Zip | 29645-4152
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Country | US
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Telephone | 864-876-4888
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Fax | 864-876-4900
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Provider Business Mailing Address
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Address Line | ONE INDEPENDENCE POINTE SUITE 212
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City | GREENVILLE
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State | SC
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Zip | 29615-4566
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Country | US
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Telephone | 864-797-6044
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Fax | 864-797-6198
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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 | 7045
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License Number State | SC
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