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General NPI Number Information
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NPI Number | 1659699114
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Entity Type | Individual
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Provider Name | MRS. DAWN MEIKLE
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Gender | Female
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Dates
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Enumeration Date | 05/08/2010
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Last Update Date | 05/08/2010
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Provider Practice Location Address
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Address Line | 1133 SW 123RD TER
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-5788
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Country | US
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Telephone | 954-646-1072
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Fax | 954-885-5585
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Provider Business Mailing Address
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Address Line | 551 SW 109TH AVE APT 105
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-7112
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Country | US
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Telephone | 954-646-1072
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Fax | 954-885-5585
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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