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NPI 1285983734

NPI 1285983734 : BRANDON PATRICK MERRILL MD : THOMASVILLE, GA

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General NPI Number Information
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    NPI Number           |    1285983734
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    Entity Type          |    Individual 
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    Provider Name        |    BRANDON PATRICK MERRILL MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/30/2012
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    Last Update Date     |    10/15/2025
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Provider Practice Location Address
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    Address Line         |    119 W HILL ST 
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    City                 |    THOMASVILLE
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    State                |    GA
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    Zip                  |    31792-6618
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    Country              |    US
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    Telephone            |    229-225-1900
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    Fax                  |    229-225-3472
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Provider Business Mailing Address
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    Address Line         |    950 N GLEBE RD STE 700 
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    City                 |    ARLINGTON
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    State                |    VA
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    Zip                  |    22203-4173
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    Country              |    US
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    Telephone            |    571-982-6636
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    Fax                  |    573-884-0943
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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       |    80016
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    License Number State |    GA
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