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General NPI Number Information
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NPI Number | 1538746599
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Entity Type | Individual
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Provider Name | MERLANDIE ETIENNE HOUSTON APRN
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Gender | Female
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 6072 DOCTORS PARK
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City | MILTON
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State | FL
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Zip | 32570-5072
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Country | US
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Telephone | 850-983-4498
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Fax |
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Provider Business Mailing Address
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Address Line | 6002 BERRYHILL RD
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City | MILTON
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State | FL
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Zip | 32570-5062
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Country | US
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Telephone | 850-626-7762
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Fax | 850-626-5478
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN11011706
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License Number State | FL
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