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General NPI Number Information
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NPI Number | 1154603231
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Entity Type | Organization
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Legal Business Name | MICHAEL LEE MERRIN MD, INC
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 1919 STATE STREET SUITE 302
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2430
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Country | US
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Telephone | 805-563-9814
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Fax | 805-563-9838
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Provider Business Mailing Address
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Address Line | PO BOX 50706
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City | SANTA BARBARA
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State | CA
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Zip | 93150-0706
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Country | US
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Telephone | 805-963-3757
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Fax | 805-564-3332
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL LEE MERRIN
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Credential | MD
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Telephone | 805-563-9814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | G18945
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License Number State | CA
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