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NPI 1912449661

NPI 1912449661 : STEVEN MYERS B.S.,C.A.C. : OCALA, FL

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General NPI Number Information
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    NPI Number           |    1912449661
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN MYERS B.S.,C.A.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/12/2016
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    Last Update Date     |    11/12/2016
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Provider Practice Location Address
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    Address Line         |    3705 SW 7TH AVENUE RD 
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    City                 |    OCALA
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    State                |    FL
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    Zip                  |    34471-7227
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    Country              |    US
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    Telephone            |    352-817-7118
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3705 SW 7TH AVENUE RD 
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    City                 |    OCALA
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    State                |    FL
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    Zip                  |    34471-7227
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    Country              |    US
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    Telephone            |    352-817-7118
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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