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NPI 1700020658

NPI 1700020658 : DEANNA LYN MERRICK PHARMD, BCGP : AKRON, OH

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General NPI Number Information
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    NPI Number           |    1700020658
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    Entity Type          |    Individual 
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    Provider Name        |    DEANNA LYN MERRICK PHARMD, BCGP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/22/2009
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    Last Update Date     |    04/11/2021
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Provider Practice Location Address
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    Address Line         |    4053 S MAIN ST 
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    City                 |    AKRON
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    State                |    OH
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    Zip                  |    44319-3668
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    Country              |    US
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    Telephone            |    330-644-9911
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    Fax                  |    330-644-9911
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Provider Business Mailing Address
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    Address Line         |    785 DENSHIRE DR NW 
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    City                 |    CANAL FULTON
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    State                |    OH
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    Zip                  |    44614-8663
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    Country              |    US
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    Telephone            |    330-472-3249
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    Fax                  |    855-619-2662
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    03328782
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    1835G0303X
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    Taxonomy Name        |    Geriatric Pharmacist
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    License Number       |    03328782
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    License Number State |    OH
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