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General NPI Number Information
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NPI Number | 1336207083
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Entity Type | Individual
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Provider Name | LISA MERCK APN CNM
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 03/29/2018
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Provider Practice Location Address
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Address Line | 419 6TH ST SUITE 202
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City | CRESTED BUTTE
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State | CO
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Zip | 81224
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Country | US
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Telephone | 970-349-0100
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Fax | 647-714-8238
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Provider Business Mailing Address
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Address Line | PO BOX 1273
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City | CRESTED BUTTE
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State | CO
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Zip | 81224-1273
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Country | US
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Telephone | 970-349-0100
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Fax | 647-714-8238
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | RN123427
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License Number State | CO
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