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General NPI Number Information
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NPI Number | 1992852842
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Entity Type | Individual
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Provider Name | JENNIFER MARIE MYERS MD
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 1 HOSPITAL PLZ
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City | STAMFORD
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State | CT
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Zip | 06902-3602
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Country | US
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Telephone | 203-276-7631
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Fax |
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Provider Business Mailing Address
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Address Line | 435 TREAT LN
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City | ORANGE
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State | CT
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Zip | 06477-2809
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Country | US
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Telephone | 615-491-4548
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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 | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | 66880
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 257395-1
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License Number State | NY
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