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General NPI Number Information
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NPI Number | 1801915244
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Entity Type | Individual
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Provider Name | GARY DAVID NEYMEYER OD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 342 COMMERCIAL DRIVE
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City | PINEVILLE
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State | MO
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Zip | 64856
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Country | US
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Telephone | 417-226-5850
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Fax | 417-226-5850
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Provider Business Mailing Address
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Address Line | 6 DEWSBURY CIRCLE
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City | BELLA VISTA
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State | AR
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Zip | 72714
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Country | US
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Telephone | 479-855-0661
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Fax | 417-226-5852
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | T02373
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License Number State | MO
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