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General NPI Number Information
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NPI Number | 1841415429
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Entity Type | Organization
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Legal Business Name | ROBIN A MYERS DMD PC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | 45 FORESTWOOD DR SUITE 2
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City | LEWISBURG
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State | PA
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Zip | 17837-6213
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Country | US
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Telephone | 570-524-4050
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Fax | 570-524-4450
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Provider Business Mailing Address
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Address Line | 45 FORESTWOOD DR SUITE 2
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City | LEWISBURG
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State | PA
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Zip | 17837-6213
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Country | US
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Telephone | 570-524-4050
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Fax | 570-524-4450
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBIN A MYERS
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Credential | DMD
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Telephone | 570-524-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS029274L
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License Number State | PA
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