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General NPI Number Information
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NPI Number | 1790849842
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Entity Type | Individual
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Provider Name | JOHN TODD MEREDITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2040 CONCOURSE DR
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City | SAINT LOUIS
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State | MO
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Zip | 63146-4119
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Country | US
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Telephone | 314-872-3381
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Fax |
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Provider Business Mailing Address
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Address Line | 3583 HUNTERS GREEN WAY
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City | LEXINGTON
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State | KY
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Zip | 40509-1925
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Country | US
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Telephone | 859-971-2499
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 30991
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD 013910
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 302249
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 18038
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License Number State | WV
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Taxonomy #5
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME 45118
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 01056379A
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License Number State | IN
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