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NPI 1316653959

NPI 1316653959 : EUFEMIA D MERCHAN : PLYMOUTH, MN

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General NPI Number Information
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    NPI Number           |    1316653959
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    Entity Type          |    Individual 
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    Provider Name        |    EUFEMIA D MERCHAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/26/2023
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    Last Update Date     |    01/26/2023
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Provider Practice Location Address
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    Address Line         |    13905 52ND AVE N APT 702 
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    City                 |    PLYMOUTH
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    State                |    MN
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    Zip                  |    55446-1641
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    Country              |    US
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    Telephone            |    612-282-3732
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13905 52ND AVE N APT 702 
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    City                 |    PLYMOUTH
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    State                |    MN
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    Zip                  |    55446-1641
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    Country              |    US
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    Telephone            |    
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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        |    372500000X
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    Taxonomy Name        |    Chore Provider
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    License Number       |    
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    License Number State |    MN
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