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General NPI Number Information
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NPI Number | 1457471625
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Entity Type | Individual
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Provider Name | DOUGLAS A MERLO DC
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Gender | Male
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 24810 BURNT PINE DR STE 1 & 2 CHIROPRACTIC & NUTRITION CENTERS OF FL INC
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City | BONITA SPRINGS
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State | FL
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Zip | 34134
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Country | US
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Telephone | 239-948-3280
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Fax | 239-948-3282
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Provider Business Mailing Address
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Address Line | 21201 BRAXFIELD LOOP
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City | ESTERO
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State | FL
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Zip | 33928
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Country | US
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Telephone | 239-229-4646
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH7358
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License Number State | FL
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