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General NPI Number Information
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NPI Number | 1013555671
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Entity Type | Individual
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Provider Name | MERRITT MCCOY TOLAN MD
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Gender | Female
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Dates
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Enumeration Date | 12/13/2019
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 9404 HIGHWAY 78 STE 100
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City | LADSON
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State | SC
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Zip | 29456-3909
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Country | US
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Telephone | 843-737-0437
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Fax | 843-789-3053
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Provider Business Mailing Address
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Address Line | 9404 HIGHWAY 78 STE 100
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City | LADSON
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State | SC
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Zip | 29456-3909
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Country | US
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Telephone | 843-737-0437
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Fax | 843-789-3053
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 16788
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 16788
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License Number State | SC
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