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General NPI Number Information
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NPI Number | 1003798034
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Entity Type | Individual
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Provider Name | ANDREA MERCHANT
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Gender |
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 5502 AUBURN ST APT 2313
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City | LUBBOCK
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State | TX
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Zip | 79416-1422
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Country | US
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Telephone | 806-809-5542
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Fax |
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Provider Business Mailing Address
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Address Line | 5502 AUBURN ST APT 2313
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City | LUBBOCK
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State | TX
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Zip | 79416-1422
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Country | US
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Telephone | 806-809-5542
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 948741
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WN0800X
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Taxonomy Name | Neuroscience Registered Nurse
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License Number | 948741
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 948741
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License Number State | TX
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