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General NPI Number Information
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NPI Number | 1720359334
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Entity Type | Individual
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Provider Name | RIDGELY MARIE MEYERS M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/13/2012
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 101 THE CITY DRIVE SOUTH BLDG 1, ROOM 0115
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City | ORANGE
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State | CA
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Zip | 92868
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Country | US
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Telephone | 714-456-6595
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Fax |
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Provider Business Mailing Address
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Address Line | 101 THE CITY DR S RM 115
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City | ORANGE
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State | CA
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Zip | 92868-3298
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 99187
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 99187
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 154594
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101284605
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License Number State | VA
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