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General NPI Number Information
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NPI Number | 1598892234
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Entity Type | Individual
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Provider Name | LYDIA A MERLE M. D.
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Gender | Female
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HOSPITAL HERMANOS MELENDEZ, INC. APARTADO 306
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City | BAYAMON
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State | PR
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Zip | 00960
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Country | US
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Telephone | 787-622-8494
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Fax |
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Provider Business Mailing Address
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Address Line | 3071 AVE ALEJANDRINO PMB 231
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City | GUAYNABO
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State | PR
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Zip | 00969-7035
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Country | US
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Telephone | 787-789-3220
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Fax | 787-789-3220
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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 | 9313
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License Number State | PR
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