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General NPI Number Information
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NPI Number | 1871720573
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Entity Type | Individual
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Provider Name | EDWARD L MEEKER PH.D
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Gender | Male
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Dates
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Enumeration Date | 06/19/2009
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 17612 PENN VALLEY DR # 53
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City | PENN VALLEY
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State | CA
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Zip | 95946-9998
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Country | US
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Telephone | 559-804-8005
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 53
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City | PENN VALLEY
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State | CA
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Zip | 95946-0053
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Country | US
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Telephone | 559-804-8005
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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