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General NPI Number Information
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NPI Number | 1285627281
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Entity Type | Individual
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Provider Name | NATHAN MERLIN TRITLE MD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 4700 POINT FOSDICK DR STE 320
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City | GIG HARBOR
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State | WA
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Zip | 98335-1706
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Country | US
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Telephone | 253-426-6731
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Fax | 253-426-1064
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Provider Business Mailing Address
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Address Line | 4700 POINT FOSDICK DR STE 320
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City | GIG HARBOR
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State | WA
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Zip | 98335-1706
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Country | US
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Telephone | 253-426-6731
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Fax | 253-426-1064
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD61222747
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 29088
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License Number State | AZ
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