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General NPI Number Information
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NPI Number | 1730145418
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Entity Type | Individual
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Provider Name | KEVIN DAVID MEAKIN DO
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Gender | Male
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Dates
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Enumeration Date | 04/22/2006
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 1625 MEDICAL CENTER PT STE 190
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-8721
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Country | US
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Telephone | 719-345-1047
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Fax | 877-647-0202
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Provider Business Mailing Address
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Address Line | PO BOX 7068
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City | PORTSMOUTH
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State | VA
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Zip | 23707-0068
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Country | US
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Telephone | 757-686-3508
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Fax | 757-686-0541
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | DR.0016815
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 0102201092
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | 0102201092
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | DR.0016815
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License Number State | CO
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