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General NPI Number Information
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NPI Number | 1225321144
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Entity Type | Individual
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Provider Name | BRIAN M MERRILL MD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2011
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 330 W 2ND ST
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City | DAYTON
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State | OH
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Zip | 45422-3424
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Country | US
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Telephone | 937-496-6735
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Fax |
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Provider Business Mailing Address
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Address Line | 627 SOUTH EDWIN C MOSES BOULEVARD
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City | DAYTON
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State | OH
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Zip | 45417
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Country | US
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Telephone | 937-223-8840
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35.120559
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License Number State | OH
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