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General NPI Number Information
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NPI Number | 1689715849
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Entity Type | Individual
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Provider Name | JEFFREY LEE MEYER, D.O.M. D.O.M
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Gender | Male
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3 N CHAMISA DR SUITE 3
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City | SANTA FE
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State | NM
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Zip | 87508-9463
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Country | US
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Telephone | 505-466-2766
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Fax |
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Provider Business Mailing Address
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Address Line | 7 BALSA RD
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City | SANTA FE
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State | NM
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Zip | 87508-8319
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Country | US
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Telephone | 505-690-7758
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Fax | 505-466-2772
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 486
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License Number State | NM
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