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General NPI Number Information
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NPI Number | 1144611922
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Entity Type | Individual
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Provider Name | DEMI DELISE MERLINO APRN, MNSC
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Gender | Female
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Dates
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Enumeration Date | 02/14/2015
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 7800 DALLAS ST
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City | FORT SMITH
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State | AR
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Zip | 72903-4278
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Country | US
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Telephone | 479-314-4940
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Fax | 794-787-2914
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Provider Business Mailing Address
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Address Line | 7800 DALLAS ST
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City | FORT SMITH
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State | AR
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Zip | 72903-4278
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Country | US
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Telephone | 479-314-4940
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Fax | 479-478-7291
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | A004320
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License Number State | AR
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