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General NPI Number Information
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NPI Number | 1699090217
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Entity Type | Individual
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Provider Name | CLIFFORD WILLIAM MEYERS MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 583 S CLARIZZ BLVD
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City | BLOOMINGTON
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State | IN
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Zip | 47401-5515
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Country | US
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Telephone | 812-676-4460
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Fax | 812-355-4092
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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Country | US
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Telephone |
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2020-00272
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 20347
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 90007
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD477188
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 267152
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 267152
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 01083647A
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License Number State | IN
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Taxonomy #8
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 01083647A
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License Number State | IN
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