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General NPI Number Information
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NPI Number | 1386617124
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Entity Type | Individual
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Provider Name | LEE D MERRITT M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 09/28/2015
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Provider Practice Location Address
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Address Line | 2051 W 25TH ST SUITE B
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City | YUMA
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State | AZ
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Zip | 85364-6911
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Country | US
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Telephone | 928-344-8220
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Fax | 928-726-0779
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Provider Business Mailing Address
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Address Line | 1600 DIAMOND STREET
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City | ONAWA
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State | IA
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Zip | 51040
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Country | US
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Telephone | 712-423-2311
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Fax | 712-423-3500
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD33430
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License Number State | IA
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