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General NPI Number Information
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NPI Number | 1457801029
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Entity Type | Individual
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Provider Name | LIANA MERRICK
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Gender | Female
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Dates
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Enumeration Date | 10/07/2016
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 483 W SEED FARM RD
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City | SACATON
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State | AZ
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Zip | 85147-5000
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Country | US
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Telephone | 602-528-1200
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Fax | 602-528-1255
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Provider Business Mailing Address
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Address Line | 1300 OXFORD DR
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City | BETHEL PARK
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State | PA
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Zip | 15102-1896
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT025608
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License Number State | PA
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