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General NPI Number Information
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NPI Number | 1548335920
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Entity Type | Individual
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Provider Name | NELOUFA R MERRILL MD
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 01/25/2012
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Provider Practice Location Address
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Address Line | 525 ROBERTS LN
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City | BAKERSFIELD
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State | CA
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Zip | 93308-4799
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Country | US
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Telephone | 661-392-7850
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Fax | 661-215-2349
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Provider Business Mailing Address
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Address Line | 659 S CENTRAL VALLEY HWY
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City | SHAFTER
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State | CA
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Zip | 93263-2790
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Country | US
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Telephone | 661-459-1900
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Fax | 661-459-1974
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A39996
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License Number State | CA
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