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General NPI Number Information
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NPI Number | 1184674798
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Entity Type | Individual
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Provider Name | SUZANNE MERKLE MD
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Gender | Female
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 6330 ORCHARD LAKE RD #120
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-2398
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Country | US
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Telephone | 248-855-3366
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Fax | 248-855-6213
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Provider Business Mailing Address
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Address Line | 6330 ORCHARD LAKE RD #120
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-2398
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Country | US
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Telephone | 248-855-3366
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Fax | 248-855-6213
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | BM4889804
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License Number State | MI
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