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General NPI Number Information
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NPI Number | 1760529416
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Entity Type | Individual
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Provider Name | THOMAS MEYER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/01/2014
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Provider Practice Location Address
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Address Line | 1451 HILLSIDE DR
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City | CLARKS SUMMIT
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State | PA
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Zip | 18411-9504
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Country | US
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Telephone | 570-587-7255
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Fax | 570-587-7270
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Provider Business Mailing Address
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Address Line | 20 EMERALD DR
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City | THROOP
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State | PA
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Zip | 18512-3350
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Country | US
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Telephone | 570-587-7255
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Fax | 570-587-7270
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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 | MD038631L
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License Number State | PA
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