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General NPI Number Information
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NPI Number | 1356973622
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Entity Type | Individual
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Provider Name | ELIZABETH ROSE MERKLE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 710 15TH ST E
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City | TUSCALOOSA
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State | AL
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Zip | 35401-3236
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Country | US
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Telephone | 205-526-2053
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Fax |
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Provider Business Mailing Address
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Address Line | 12393 FALCON CREST CIR
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City | NORTHPORT
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State | AL
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Zip | 35475-2600
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Country | US
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Telephone | 954-309-8177
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-176503
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F08211323
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-176503
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License Number State | AL
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