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General NPI Number Information
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NPI Number | 1861604910
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Entity Type | Organization
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Legal Business Name | MYERS WELLNESS GROUP
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17064 W. DIXIE HWY.
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City | N. MIAMI BEACH
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State | FL
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Zip | 33160
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Country | US
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Telephone | 954-295-8809
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Fax |
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Provider Business Mailing Address
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Address Line | 1140 PAPAYA ST.
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City | HOLLYWOOD
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State | FL
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Zip | 33019
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Country | US
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Telephone | 954-295-8809
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. MICHAEL MYERS
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Credential | D.C.
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Telephone | 954-295-8809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | CH8920
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License Number State | FL
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