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NPI 1538339239

NPI 1538339239 : ROBERT L MERRILL JR DDS PA : ASHEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1538339239
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBERT L MERRILL JR DDS PA 
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Dates
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    Enumeration Date     |    03/10/2008
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    561 OLD COUNTY HOME ROAD 
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28806
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    Country              |    US
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    Telephone            |    828-254-0400
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    Fax                  |    828-251-1785
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Provider Business Mailing Address
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    Address Line         |    561 OLD COUNTY HOME ROAD 
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28806
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    Country              |    US
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    Telephone            |    828-254-0400
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    Fax                  |    828-251-1785
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |    MRS. ANGIE K STAFFORD 
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    Credential           |    
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    Telephone            |    828-254-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    4928
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    License Number State |    NC
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