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General NPI Number Information
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NPI Number | 1225006265
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Entity Type | Individual
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Provider Name | KURT D MERKEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 11/23/2016
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Provider Practice Location Address
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Address Line | 1011 BOWLES AVE SUITE 400
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City | FENTON
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State | MO
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Zip | 63026-2395
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Country | US
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Telephone | 636-680-5400
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Fax | 636-680-5405
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Provider Business Mailing Address
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Address Line | 1011 BOWLES AVE SUITE 400
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City | FENTON
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State | MO
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Zip | 63026-2395
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Country | US
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Telephone | 636-680-5400
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Fax | 636-680-5405
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | R3F06
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License Number State | MO
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