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General NPI Number Information
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NPI Number | 1811848005
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Entity Type | Individual
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Provider Name | MATTIE LOUISE MEINE DC
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Gender | Female
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 7844 FARMINGTON BLVD
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City | GERMANTOWN
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State | TN
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Zip | 38138-2904
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Country | US
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Telephone | 901-340-1837
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Fax |
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Provider Business Mailing Address
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Address Line | 4682 NANCE PL
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-6700
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Country | US
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Telephone | 901-828-3650
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1432
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4034
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License Number State | TN
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