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General NPI Number Information
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NPI Number | 1770401010
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Entity Type | Individual
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Provider Name | MATTHEW T MEADOR
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Gender | Male
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 555 WASHINGTON ST
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City | SAN DIEGO
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State | CA
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Zip | 92103-2289
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Country | US
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Telephone | 619-260-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 1808 3RD AVE APT 16
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City | SAN DIEGO
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State | CA
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Zip | 92101-2627
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Country | US
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Telephone | 619-729-9447
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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 | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | 49998
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License Number State | CA
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