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General NPI Number Information
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NPI Number | 1124148432
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Entity Type | Organization
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Legal Business Name | PETER F MERKLE MD PA
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 1101 E SAMPLE RD
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City | POMPANO BEACH
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State | FL
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Zip | 33064-5104
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Country | US
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Telephone | 954-783-7100
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Fax | 954-783-7304
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Provider Business Mailing Address
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Address Line | 1101 E SAMPLE RD
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City | POMPANO BEACH
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State | FL
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Zip | 33064-5113
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Country | US
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Telephone | 954-783-7100
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Fax | 954-783-7304
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER FRANK MERKLE
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Credential | MD
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Telephone | 954-783-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | ME51275
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License Number State | FL
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