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General NPI Number Information
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NPI Number | 1780928069
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Entity Type | Organization
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Legal Business Name | KEITH D. MEYER, M.D., P.A.
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Dates
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Enumeration Date | 11/26/2012
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Last Update Date | 11/26/2012
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Provider Practice Location Address
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Address Line | 1411 N FLAGLER DR SUITE 9500
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3404
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Country | US
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Telephone | 561-820-0122
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Fax | 561-820-8840
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Provider Business Mailing Address
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Address Line | PO BOX 8708
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-0708
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Country | US
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Telephone | 561-820-0122
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Fax | 561-820-8840
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEITH DOUGLAS MEYER
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Credential | M.D.
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Telephone | 561-820-0122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME 64245
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License Number State | FL
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