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General NPI Number Information
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NPI Number | 1467890921
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Entity Type | Individual
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Provider Name | SAMANTHA JEAN MERCK M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 6565 S YALE AVE STE 812
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City | TULSA
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State | OK
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Zip | 74136-8309
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Country | US
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Telephone | 184-949-2889
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Fax | 918-494-9289
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Provider Business Mailing Address
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Address Line | 6600 S YALE AVE STE 1400
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City | TULSA
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State | OK
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Zip | 74136-3331
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 38724
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | D0089449
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | D0089449
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License Number State | MD
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