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General NPI Number Information
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NPI Number | 1831083625
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Entity Type | Organization
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Legal Business Name | MEADOW DIRECT HEALTH
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 7216 US 301 N STE 120
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City | ELLENTON
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State | FL
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Zip | 34222-3463
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Country | US
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Telephone | 941-340-1649
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Fax | 941-229-8802
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Provider Business Mailing Address
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Address Line | 11814 ARMADA WAY
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City | PARRISH
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State | FL
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Zip | 34219-1821
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Country | US
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Telephone | 941-340-1649
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Fax | 941-229-8802
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Authorized Official
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Title or Position | PROVIDER/ OWNER
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Name | MERIEM RICHARDSON
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Credential | APRN
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Telephone | 941-340-1649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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