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General NPI Number Information
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NPI Number | 1912107756
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Entity Type | Organization
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Legal Business Name | BRENDA MEEKS, PH.D., P.A.
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 1216 S GEORGIA ST
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City | AMARILLO
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State | TX
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Zip | 79102-1310
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Country | US
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Telephone | 806-342-3500
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Fax | 806-374-8832
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Provider Business Mailing Address
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Address Line | PO BOX 3087
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City | AMARILLO
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State | TX
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Zip | 79116-3087
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Country | US
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Telephone | 806-342-3500
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Fax | 806-374-8832
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | BRENDA MEEKS
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Credential |
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Telephone | 806-342-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 25791
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License Number State | TX
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