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General NPI Number Information
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NPI Number | 1962586040
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Entity Type | Individual
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Provider Name | THOMAS WESLEY MEADE O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 1114 E STATE ST
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City | FREMONT
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State | OH
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Zip | 43420-4358
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Country | US
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Telephone | 419-334-2646
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Fax | 419-334-9084
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Provider Business Mailing Address
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Address Line | 2628 S TOWNSHIP ROAD 1195
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City | TIFFIN
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State | OH
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Zip | 44883-7703
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Country | US
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Telephone | 419-448-9344
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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 | 4955
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License Number State | OH
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