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NPI 1770854911

NPI 1770854911 : DOUGLAS L MEIER OD PA : ALTAMONTE SPRINGS, FL

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General NPI Number Information
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    NPI Number           |    1770854911
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    Entity Type          |    Organization 
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    Legal Business Name  |    DOUGLAS L MEIER OD PA 
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Dates
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    Enumeration Date     |    01/19/2012
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    Last Update Date     |    01/19/2012
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Provider Practice Location Address
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    Address Line         |    515 SPRING VALLEY RD 
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    City                 |    ALTAMONTE SPRINGS
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    State                |    FL
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    Zip                  |    32714-5833
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    Country              |    US
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    Telephone            |    407-786-3937
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    Fax                  |    407-682-7524
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Provider Business Mailing Address
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    Address Line         |    515 SPRING VALLEY RD 
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    City                 |    ALTAMONTE SPRINGS
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    State                |    FL
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    Zip                  |    32714-5833
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     DOUGLAS L MEIER 
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    Credential           |    
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    Telephone            |    407-786-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    OP1548
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    License Number State |    FL
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