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General NPI Number Information
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NPI Number | 1861777567
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Entity Type | Individual
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Provider Name | ANGELA MEYERS PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 5215 E STATE ROAD 64
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City | BRADENTON
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State | FL
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Zip | 34208-5533
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Country | US
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Telephone | 941-907-3400
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Fax | 941-907-4202
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Provider Business Mailing Address
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Address Line | 710 N LEMON AVE UNIT 342
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City | SARASOTA
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State | FL
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Zip | 34236-4295
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Country | US
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Telephone | 702-468-9367
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Fax |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 08504082
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9118352
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License Number State | FL
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