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General NPI Number Information
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NPI Number | 1831387448
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Entity Type | Individual
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Provider Name | FLOYD ANTHONY MEACHUM DO
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Gender | Male
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 3900 CAMBRIDGE ST SUITE 102
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City | LAS VEGAS
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State | NV
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Zip | 89119-7439
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Country | US
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Telephone | 702-307-5415
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Fax | 702-307-5416
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Provider Business Mailing Address
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Address Line | 1802 N CARSON ST SUITE 100
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City | CARSON CITY
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State | NV
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Zip | 89701-1265
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Country | US
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Telephone | 775-888-6610
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Fax | 775-888-6610
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO1609
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License Number State | NV
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