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General NPI Number Information
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NPI Number | 1679670954
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Entity Type | Organization
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Legal Business Name | JEFFREY MECKLER, DDS, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 920 CASS STREET SUITE 100
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City | MONTEREY
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State | CA
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Zip | 93940
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Country | US
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Telephone | 831-373-1377
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Fax | 831-372-0463
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Provider Business Mailing Address
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Address Line | 920 CASS STREET SUITE 100
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City | MONTEREY
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State | CA
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Zip | 93940
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Country | US
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Telephone | 831-373-1377
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Fax | 831-372-0463
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY MECKLER
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Credential | D.D.S.
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Telephone | 831-373-1377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 38951
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License Number State | CA
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