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General NPI Number Information
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NPI Number | 1730582214
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Entity Type | Individual
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Provider Name | MICHAEL TODD MESKE MSN, AGPC-NP
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Gender | Male
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Dates
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Enumeration Date | 09/29/2014
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 4309 MEDICAL PARK DR
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City | DURHAM
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State | NC
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Zip | 27704-2388
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Country | US
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Telephone | 919-668-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 4309 MEDICAL PARK DR
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City | DURHAM
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State | NC
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Zip | 27704-2388
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Country | US
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Telephone | 919-668-7246
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 842-55
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5017531
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License Number State | NC
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