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General NPI Number Information
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NPI Number | 1649400557
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Entity Type | Individual
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Provider Name | LISA ELIZABETH MEYERS D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 574 N STATE ST SUITE A
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City | WESTERVILLE
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State | OH
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Zip | 43082-6058
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Country | US
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Telephone | 614-890-2522
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Fax | 614-882-2931
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Provider Business Mailing Address
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Address Line | 574 N STATE ST SUITE A
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City | WESTERVILLE
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State | OH
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Zip | 43082-6058
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Country | US
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Telephone | 614-890-2522
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Fax | 614-882-2931
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30-023092
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License Number State | OH
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