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General NPI Number Information
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NPI Number | 1790997435
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Entity Type | Organization
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Legal Business Name | DR. DAVID A. MYERS LLC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 09/14/2007
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Provider Practice Location Address
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Address Line | 701 METAIRIE RD SUITE 2A 202
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City | METAIRIE
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State | LA
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Zip | 70005
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Country | US
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Telephone | 504-833-9440
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Fax | 504-833-1312
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Provider Business Mailing Address
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Address Line | P O BOX 55730
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City | METAIRIE
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State | LA
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Zip | 70055-5730
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Country | US
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Telephone | 504-833-9440
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Fax | 504-833-1312
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | DAVID ALLEN MYERS
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Credential | M.D.
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Telephone | 504-833-9440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 022710
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License Number State | LA
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