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General NPI Number Information
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NPI Number | 1881715860
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Entity Type | Organization
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Legal Business Name | MEYERS BRACE & LIMB CO., INC.
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 804 BROOK AVE
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City | WICHITA FALLS
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State | TX
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Zip | 76301-4209
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Country | US
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Telephone | 940-723-2868
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Fax |
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Provider Business Mailing Address
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Address Line | 804 BROOK AVE
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City | WICHITA FALLS
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State | TX
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Zip | 76301-4209
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Country | US
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Telephone | 940-723-2868
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Fax | 940-723-1457
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Authorized Official
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Title or Position | OWNER PRESIDENT TREASURER
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Name | DOUGLAS MEYERS
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Credential | CPO
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Telephone | 940-723-2868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | 000067
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | 000067
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 00067
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 00067
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License Number State | TX
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