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General NPI Number Information
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NPI Number | 1649695669
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Entity Type | Individual
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Provider Name | JENNIFER MYERS
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Gender | Female
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 02/27/2014
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Provider Practice Location Address
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Address Line | 455 E PACES FERRY RD NE SUITE 201
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City | ATLANTA
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State | GA
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Zip | 30305-3313
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Country | US
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Telephone | 404-841-9994
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Fax |
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Provider Business Mailing Address
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Address Line | 936 SCENIC VIEW CT
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City | ATLANTA
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State | GA
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Zip | 30339-3669
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Country | US
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Telephone | 770-375-5594
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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