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General NPI Number Information
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NPI Number | 1003851049
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Entity Type | Individual
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Provider Name | DAVID B MERRITT MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 03/13/2019
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Provider Practice Location Address
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Address Line | 575 RIVERGATE
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City | DURANGO
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State | CO
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Zip | 81301
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Country | US
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Telephone | 970-247-3537
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Fax |
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Provider Business Mailing Address
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Address Line | 12633 ROAD 32
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City | MANCOS
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State | CO
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Zip | 81328-9170
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 45464
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License Number State | WI
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