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General NPI Number Information
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NPI Number | 1689770729
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Entity Type | Individual
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Provider Name | NATHAN J MEYER DC
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 475 CHIPPEWA MALL DR STE 404
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-5034
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Country | US
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Telephone | 715-720-7116
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Fax |
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Provider Business Mailing Address
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Address Line | 601 S 32ND AVE
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City | WAUSAU
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State | WI
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Zip | 54401-3958
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Country | US
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Telephone | 715-848-2526
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3488-012
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License Number State | WI
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