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General NPI Number Information
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NPI Number | 1932348380
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Entity Type | Individual
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Provider Name | KATHLEEN A MEYER MD
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Gender | Female
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Dates
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Enumeration Date | 02/09/2009
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 1400 N US HIGHWAY 441 STE 510&511
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City | THE VILLAGES
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State | FL
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Zip | 32159-8975
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Country | US
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Telephone | 352-365-0777
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Fax | 352-787-4655
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Provider Business Mailing Address
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Address Line | 1400 N US HIGHWAY 441 STE 510
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City | THE VILLAGES
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State | FL
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Zip | 32159-8983
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Country | US
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Telephone | 352-787-5858
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Fax | 352-787-4655
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME100802
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License Number State | FL
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