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General NPI Number Information
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NPI Number | 1669658845
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Entity Type | Organization
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Legal Business Name | JENNIFER MEADOWS, MD, PA
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 1401 MEDICAL PKWY STE 410
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City | CEDAR PARK
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State | TX
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Zip | 78613-5015
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Country | US
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Telephone | 512-260-3636
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Fax | 512-260-3911
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Provider Business Mailing Address
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Address Line | PO BOX 269092
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126-9092
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Country | US
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Telephone | 512-260-3636
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Fax | 512-260-3911
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER MEADOWS
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Credential | MD
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Telephone | 512-263-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | M7421
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License Number State | TX
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