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General NPI Number Information
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NPI Number | 1790915999
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Entity Type | Organization
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Legal Business Name | MEADOWS MEDICAL SOLUTIONS & PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 609 MEDICAL CARE DR
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City | BRANDON
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State | FL
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Zip | 33511-5942
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Country | US
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Telephone | 813-662-3200
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Fax | 813-662-3207
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Provider Business Mailing Address
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Address Line | 609 MEDICAL CARE DR
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City | BRANDON
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State | FL
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Zip | 33511-5942
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Country | US
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Telephone | 813-662-3200
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Fax | 813-662-3207
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM F MEADOWS III
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Credential | MD
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Telephone | 813-662-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME48854
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License Number State | FL
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