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General NPI Number Information
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NPI Number | 1811997927
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Entity Type | Individual
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Provider Name | GREGG STEPHEN MEYER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 18 OLD ETNA RD DHMC INTERNAL MEDICINE
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City | LEBANON
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State | NH
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Zip | 03766
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Country | US
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Telephone | 603-650-4000
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Fax | 603-650-4190
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Provider Business Mailing Address
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Address Line | ONE MEDICAL CENTER DRIVE LEVEL 5: BUILDING 3, ADMINISTRATION
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City | LEBANON
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State | NH
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Zip | 03756
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Country | US
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Telephone | 603-650-6366
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Fax | 603-650-7440
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 72444
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 15764
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License Number State | NH
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