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General NPI Number Information
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NPI Number | 1912925280
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Entity Type | Individual
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Provider Name | DANIEL RAYMOND MEYER P.A.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 04/18/2016
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Provider Practice Location Address
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Address Line | 4102 SAWMILL MESA RD
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City | DELTA
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State | CO
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Zip | 81416-9158
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Country | US
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Telephone | 970-874-5830
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Fax |
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Provider Business Mailing Address
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Address Line | 736 EGRET CIR
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-8678
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Country | US
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Telephone | 970-985-8386
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA-2210
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License Number State | CO
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