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General NPI Number Information
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NPI Number | 1174031686
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Entity Type | Individual
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Provider Name | OLEG MERGES MD
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Gender | Male
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Dates
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Enumeration Date | 01/18/2018
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 2434 SAND MINE RD
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City | DAVENPORT
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State | FL
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Zip | 33897-3400
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Country | US
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Telephone | 407-558-8532
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Fax | 863-866-2123
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Provider Business Mailing Address
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Address Line | 5640 WESTERLY BREEZE PL
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City | SAINT CLOUD
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State | FL
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Zip | 34771-7488
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Country | US
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Telephone | 407-558-8532
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Fax | 863-866-2123
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ACN1214
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME172442
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 19833
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License Number State | PR
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