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General NPI Number Information
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NPI Number | 1558726935
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Entity Type | Individual
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Provider Name | AMY MERRILL NP-C
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Gender | Female
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 109 MAIN ST
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City | ROANOKE
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State | AL
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Zip | 36274-1729
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Country | US
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Telephone | 334-710-0470
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Fax | 334-710-0469
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Provider Business Mailing Address
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Address Line | 204 ALLEN MEMORIAL DR STE 201
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City | BREMEN
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State | GA
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Zip | 30110-2062
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Country | US
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Telephone | 770-537-6500
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Fax | 770-834-2600
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN-NP139259
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1-086045
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License Number State | AL
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