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General NPI Number Information
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NPI Number | 1912038175
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Entity Type | Individual
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Provider Name | DIANE S MEEK O.D.
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4595 EASTGATE BLVD SEARS OPTICAL DEPT
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City | CINCINNATI
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State | OH
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Zip | 45245-1201
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Country | US
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Telephone | 513-753-9725
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Fax |
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Provider Business Mailing Address
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Address Line | 4460 ELMWOOD RD PO BOX 567
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City | BATAVIA
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State | OH
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Zip | 45103-8418
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Country | US
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Telephone | 513-732-6151
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3813 T561
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1067DT
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0601001285
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License Number State | VA
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