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General NPI Number Information
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NPI Number | 1790886208
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Entity Type | Individual
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Provider Name | RICHARD D MEISTER DDS
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Gender | Male
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 1602 N RANDALL AVE
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City | JANESVILLE
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State | WI
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Zip | 53545-1124
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Country | US
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Telephone | 608-756-8744
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Fax | 608-756-5344
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Provider Business Mailing Address
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Address Line | 1888 BUCKHORN RD
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City | WOODRUFF
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State | WI
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Zip | 54568-9811
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Country | US
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Telephone | 608-289-2138
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 4784
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License Number State | WI
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