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General NPI Number Information
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NPI Number | 1841399532
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Entity Type | Individual
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Provider Name | KIMBERLY A MENG DDS., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 907 W THOMAS ST SUITE A
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City | HAMMOND
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State | LA
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Zip | 70401-3037
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Country | US
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Telephone | 985-230-0200
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Fax | 985-230-0600
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Provider Business Mailing Address
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Address Line | 608 TCHOUPITOULAS ST
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City | NEW ORLEANS
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State | LA
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Zip | 70130-3212
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Country | US
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Telephone | 504-525-2454
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Fax | 504-525-4415
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 4497
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License Number State | LA
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