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General NPI Number Information
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NPI Number | 1689680274
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Entity Type | Individual
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Provider Name | VICTORIA S MYERS M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 06/22/2020
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Provider Practice Location Address
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Address Line | 3300 HENRY AVE STE 101
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City | PHILADELPHIA
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State | PA
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Zip | 19129-1146
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Country | US
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Telephone | 215-205-8884
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W GRAVERS LN
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City | PHILADELPHIA
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State | PA
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Zip | 19118-3715
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Country | US
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Telephone | 215-205-8884
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD426519
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 230186
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License Number State | MA
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