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General NPI Number Information
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NPI Number | 1497742530
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Entity Type | Individual
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Provider Name | THOMAS J MERRILL DPM
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Gender | Male
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 09/28/2015
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Provider Practice Location Address
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Address Line | 3659 S MIAMI AVE BARRY UNIVERSITY FOOT & ANKLE INSTITUTE, SUITE # 3008
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City | MIAMI
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State | FL
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Zip | 33133-4227
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Country | US
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Telephone | 305-859-7777
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Fax | 305-859-7444
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Provider Business Mailing Address
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Address Line | 893 NE 125TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5711
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Country | US
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Telephone | 305-892-0818
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Fax | 305-892-2916
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO1902
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License Number State | FL
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