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General NPI Number Information
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NPI Number | 1972552545
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Entity Type | Individual
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Provider Name | JON HAMILTON MEYERLE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 32 PARKING PLZ STE 300
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City | ARDMORE
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State | PA
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Zip | 19003
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Country | US
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Telephone | 610-299-4561
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Fax | 610-200-1411
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Provider Business Mailing Address
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Address Line | 220 GLENN RD
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City | ARDMORE
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State | PA
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Zip | 19003-2512
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Country | US
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Telephone | 202-246-3262
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Fax | 610-200-1411
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | D62336
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD464849
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License Number State | PA
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