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General NPI Number Information
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NPI Number | 1083843692
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Entity Type | Individual
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Provider Name | KEVIN PAUL MERROW D.C
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Gender | Male
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Dates
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Enumeration Date | 07/06/2009
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Last Update Date | 11/22/2010
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Provider Practice Location Address
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Address Line | 265 NORTH FINDLEY STREET SUITE D
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City | PUNXSUTAWNEY
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State | PA
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Zip | 15767-8224
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Country | US
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Telephone | 814-952-2984
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Fax |
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Provider Business Mailing Address
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Address Line | 187 CHARLES STREET
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City | PUNXSUTAWNEY
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State | PA
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Zip | 15767-8224
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Country | US
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Telephone | 814-952-2984
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC010350
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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