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General NPI Number Information
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NPI Number | 1760812564
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Entity Type | Organization
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Legal Business Name | MEYER, MALIN AND ASSOCIATES PLLC
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Dates
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Enumeration Date | 11/15/2013
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Last Update Date | 11/15/2013
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Provider Practice Location Address
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Address Line | 101 MAIN STREET
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City | CORINTH
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State | NY
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Zip | 12822
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Country | US
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Telephone | 518-654-8511
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Fax | 518-654-8512
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Provider Business Mailing Address
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Address Line | 418 GEYSER ROAD SUITE 14
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City | BALLSTON SPA
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State | NY
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Zip | 12020
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Country | US
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Telephone | 518-584-5331
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Fax | 518-584-5332
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. VINCENT EDWIN MEYER JR.
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Credential | M.D.
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Telephone | 518-584-5331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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