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General NPI Number Information
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NPI Number | 1457275976
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Entity Type | Individual
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Provider Name | SHAWN MERGEN
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Gender | Male
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 2250 MCGREGOR BLVD APT 3300
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City | FORT MYERS
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State | FL
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Zip | 33901-3477
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Country | US
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Telephone | 239-264-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 230309 NORTHFORK DR
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City | WAUSAU
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State | WI
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Zip | 54403-7199
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Country | US
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Telephone | 715-297-9248
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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 | 242T00000X
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Taxonomy Name | Perfusionist
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License Number | 54-18
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License Number State | WI
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