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NPI 1831124015

NPI 1831124015 : WILLIAM J MEIS III D.O., FACOS : ERDENHEIM, PA

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General NPI Number Information
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    NPI Number           |    1831124015
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM J MEIS III D.O., FACOS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/12/2006
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    Last Update Date     |    10/16/2023
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Provider Practice Location Address
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    Address Line         |    300 BETHLEHEM PIKE 
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    City                 |    ERDENHEIM
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    State                |    PA
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    Zip                  |    19038-8238
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    Country              |    US
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    Telephone            |    215-588-4569
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    Fax                  |    215-331-7004
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Provider Business Mailing Address
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    Address Line         |    300 BETHLEHEM PIKE 
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    City                 |    ERDENHEIM
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    State                |    PA
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    Zip                  |    19038-8238
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    Country              |    US
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    Telephone            |    215-588-4569
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    Fax                  |    215-331-7004
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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        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    OS005076L
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    License Number State |    PA
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