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General NPI Number Information
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NPI Number | 1609853464
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Entity Type | Individual
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Provider Name | JAIME R MERCHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 1475 NW 12TH AVE SUITE 3300
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City | MIAMI
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State | FL
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Zip | 33136-1002
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Country | US
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Telephone | 305-243-1287
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Fax | 305-243-1293
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Provider Business Mailing Address
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Address Line | 1475 NW 12TH AVE SUITE 3300
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City | MIAMI
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State | FL
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Zip | 33136-1002
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Country | US
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Telephone | 305-243-1287
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Fax | 305-243-1293
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME74584
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License Number State | FL
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