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General NPI Number Information
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NPI Number | 1659516854
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Entity Type | Individual
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Provider Name | MATTHEW JAMES MEYER PHARM-D, RPH
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Gender | Male
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 1333 W 5TH ST STE 107
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City | SHERIDAN
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State | WY
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Zip | 82801-2752
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Country | US
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Telephone | 307-673-3188
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Fax | 307-673-3190
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Provider Business Mailing Address
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Address Line | 1333 W 5TH ST STE 107
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City | SHERIDAN
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State | WY
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Zip | 82801-2752
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Country | US
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Telephone | 307-673-3188
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Fax | 307-673-3190
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 3166
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number | 53D2181741
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 3166
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License Number State | WY
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