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General NPI Number Information
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NPI Number | 1760469050
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Entity Type | Individual
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Provider Name | JAY MEYER MD
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Gender | Male
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 777 S NEW BALLAS RD STE 326W
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City | ST LOUIS
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State | MO
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Zip | 63141-8719
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Country | US
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Telephone | 314-567-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 777 S NEW BALLAS RD STE 326W
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City | ST LOUIS
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State | MO
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Zip | 63141-8719
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Country | US
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Telephone | 314-567-0200
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 27523
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License Number State | MO
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