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General NPI Number Information
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NPI Number | 1801937081
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Entity Type | Organization
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Legal Business Name | MEADOWS & MEADOWS DDS INC
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | RR 02 BOX 171A
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City | LEWISBURG
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State | WV
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Zip | 24901
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Country | US
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Telephone | 304-645-6124
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Fax | 304-645-5776
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Provider Business Mailing Address
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Address Line | RR 02 BOX 171A
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City | LEWISBURG
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State | WV
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Zip | 24901
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Country | US
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Telephone | 304-645-6124
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Fax | 304-645-5776
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MICHAEL JULIAN MEADOWS
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Credential | DDS
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Telephone | 304-645-6124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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