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General NPI Number Information
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NPI Number | 1497743033
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Entity Type | Individual
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Provider Name | WILLIAM T. MERCHANT D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 07/09/2018
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Provider Practice Location Address
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Address Line | 720 NORMAN DR
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City | LEBANON
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State | PA
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Zip | 17042-7481
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Country | US
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Telephone | 717-639-3230
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Fax | 717-274-1659
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Provider Business Mailing Address
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Address Line | 3421 CONCORD RD
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City | YORK
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State | PA
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Zip | 17402-9001
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Country | US
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Telephone | 717-639-3230
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Fax | 717-274-1659
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 45281
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS005477L
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License Number State | PA
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