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General NPI Number Information
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NPI Number | 1619014164
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Entity Type | Individual
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Provider Name | DENNIS H MYERS PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 341 N CALVERT ST SUITE 300
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City | BALTIMORE
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State | MD
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Zip | 21202-3633
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Country | US
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Telephone | 410-986-4400
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Fax | 410-986-4411
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Provider Business Mailing Address
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Address Line | 2402 CRESTNOLL ROAD
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City | REISTERSTOWN
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State | MD
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Zip | 21136
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Country | US
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Telephone | 410-252-3690
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C0000051
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License Number State | MD
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