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General NPI Number Information
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NPI Number | 1255538146
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Entity Type | Individual
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Provider Name | DARLENE MAXFIELD MERRILL NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 03/02/2016
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Provider Practice Location Address
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Address Line | 9700 EL CAMINO REAL STE. 1200 WEST TOWER
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City | ATASCADERO
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State | CA
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Zip | 93422-5569
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Country | US
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Telephone | 805-466-1330
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Fax | 805-466-1654
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Provider Business Mailing Address
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Address Line | 2075 ALTURAS RD
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City | ATASCADERO
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State | CA
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Zip | 93422-1102
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Country | US
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Telephone | 805-462-9190
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Fax | 805-462-8069
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 306986
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License Number State | CA
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